Individual provider · Type 1 NPI

Melissa Wallace

Massage Therapist · Louisville, KY

NPI number 1619267101 Active

Practice location

161 Cactus Ct
Louisville, KY 40229-3109

Call (502) 510-6747 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X3806 (KY)

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 1619267101

Melissa Wallace's National Provider Identifier is 1619267101, issued on Apr 18, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Louisville, KY. The record was last updated on Apr 18, 2011.