Individual provider · Type 1 NPI

Joann Rae Wallace, LMT

Massage Therapist · Spearfish, SD

NPI number 1912845132 Active

Practice location

529 N Main St
Spearfish, SD 57783-2345

Call (605) 641-4674 Map

Mailing address

805 Harvard St Apt A
Spearfish, SD 57783-1898

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT11445 (SD)

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 1912845132

Joann Rae Wallace, LMT's National Provider Identifier is 1912845132, issued on Mar 23, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spearfish, SD. The record was last updated on Mar 23, 2026.