Individual provider · Type 1 NPI

Olivia Wallace

Massage Therapist · Longview, WA

NPI number 1639744436 Active

Practice location

820 Ocean Beach Hwy Ste 116
Longview, WA 98632-4081

Fax (360) 353-5350

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X61161174 (WA)

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 1639744436

Olivia Wallace's National Provider Identifier is 1639744436, issued on May 24, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longview, WA. The record was last updated on May 24, 2021.