Individual provider · Type 1 NPI

Pamela J. Wall, LMT

Massage Therapist · Eldon, MO

NPI number 1629283296 Active

Practice location

18 S Maple St
Eldon, MO 65026-1834

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2004007483 (MO)

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 1629283296

Pamela J. Wall, LMT's National Provider Identifier is 1629283296, issued on May 14, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eldon, MO. The record was last updated on Jul 8, 2007.