Individual provider · Type 1 NPI

Joshua Wallace, LMT

Massage Therapist · Bozeman, MT

NPI number 1639631633 Active

Practice location

1001 W Oak St, Bldg. C Ste. 210
Bozeman, MT 59715

Call (406) 587-8446 Map

Fax (406) 587-0898

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-LMT-LIC-13720 (MT)

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 1639631633

Joshua Wallace, LMT's National Provider Identifier is 1639631633, issued on Apr 1, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bozeman, MT. The record was last updated on Apr 1, 2019.