Melissa Wallace is a massage therapist in Louisville, KY. 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. Melissa Wallace NPI is 1619267101. 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:
161 CACTUS CT
LOUISVILLE, KY
ZIP 40229-109
Phone: (502) 510-6747
The enumeration date for this NPI number is 4/18/2011 and was last updated on 4/18/2011.