Individual provider · Type 1 NPI

Martin Scott Wallace, LMT

Massage Therapist · Waikoloa, HI

NPI number 1821844598 Active

Practice location

68-3840 Lua Kula St, Admin 3
Waikoloa, HI 96738

Call (808) 909-3111 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAT-16955 (HI)

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 1821844598

Martin Scott Wallace, LMT's National Provider Identifier is 1821844598, issued on Apr 24, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waikoloa, HI. The record was last updated on Apr 24, 2024.