Individual provider · Type 1 NPI

Wendy Ballasch, LMT

Massage Therapist · Fort Walton Beach, FL

NPI number 1699115923 Active

Practice location

184 Brooks St SE Unit 1
Fort Walton Beach, FL 32548-2822

Fax (850) 855-9812

Mailing address

118 Berger Pl NE
Fort Walton Beach, FL 32548-5102

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA31025 (FL)

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 1699115923

Wendy Ballasch, LMT's National Provider Identifier is 1699115923, issued on Jul 1, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jul 1, 2013.