Individual provider · Type 1 NPI

Robert Wall

Massage Therapist · Winston Salem, NC

NPI number 1972048130 Active

Practice location

2910 Briarcliffe Rd
Winston Salem, NC 27106-3176

Mailing address

433 Stickney Rd
Winston Salem, NC 27107-5518

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4991 (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 1972048130

Robert Wall's National Provider Identifier is 1972048130, issued on Dec 27, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 27, 2016.