SHELBY WALLACE LMP NPI 1386229672

NPI Information

NPI: 1386229672
Provider Name: SHELBY WALLACE, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
919 HIGHLAND AVE
CLARKSTON, WA
ZIP 99403
Phone: (509) 758-9214
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Shelby Wallace, LMP is a massage therapist in Clarkston, WA. The provider is 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. Shelby Wallace, LMP NPI is 1386229672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

919 HIGHLAND AVE
CLARKSTON, WA
ZIP 99403-762
Phone: (509) 758-9214

The enumeration date for this NPI number is 3/17/2021 and was last updated on 6/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA61147629	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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