Individual provider · Type 1 NPI

Isaac Galen Wallace, LMBT

Massage Therapist · Durham, NC

NPI number 1730227216 Active

Practice location

3326 Chapel Dr # 230
Durham, NC 27708-9964

Call (919) 251-8437 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9478 (NC)

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 1730227216

Isaac Galen Wallace, LMBT's National Provider Identifier is 1730227216, issued on Feb 5, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Durham, NC. The record was last updated on Jul 21, 2019.