Individual provider · Type 1 NPI
Glenda Fuller, LMT
Massage Therapist · North Little Rock, AR
NPI number
1396629077
Active
Practice location
9224 Maumelle Blvd
North Little Rock, AR 72113-6678
Mailing address
82 Rolling Oaks Dr
Maumelle, AR 72113-6806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 4226 (AR) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1396629077
Glenda Fuller, LMT's National Provider Identifier is 1396629077, issued on Aug 4, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Little Rock, AR. The record was last updated on Aug 4, 2025.