Individual provider · Type 1 NPI

Jaley Jeanette Wallace, LMT

Massage Therapist · Longview, TX

NPI number 1841124617 Active

Practice location

4406 Judson Rd
Longview, TX 75605

Call (903) 285-5803 Map

Mailing address

1137 Kensington Ct
Longview, TX 75605-1475

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT141433 (TX)

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 1841124617

Jaley Jeanette Wallace, LMT's National Provider Identifier is 1841124617, issued on Jun 9, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longview, TX. The record was last updated on Jun 9, 2026.