Tara Wallace, LMT, MMP is a specialist in O Fallon, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Tara Wallace, LMT, MMP NPI is 1790124378. 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:
2633 BABBLE CREEK LN O FALLON, MO ZIP 63368-338 Phone: (636) 577-1216 Fax: (636) 294-0837
The enumeration date for this NPI number is 6/18/2013 and was last updated on 6/18/2013.
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:
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: 11/21/2025
NPI Synchronization or Removal
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