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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4226 (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.