ALICIA WADE NPI 1790645315

NPI Information

  • NPI: 1790645315
  • Provider Name: ALICIA WADE
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 5101A BACKLICK RD
    ANNANDALE, VA
    ZIP 22003
  • Phone: (571) 982-2405

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NPI Details

Alicia Wade is a massage therapist in Annandale, VA. 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. Alicia Wade NPI is 1790645315. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5101A BACKLICK RD
ANNANDALE, VA
ZIP 22003-080
Phone: (571) 982-2405

The enumeration date for this NPI number is 11/15/2025 and was last updated on 11/15/2025.

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
1225700000XMassage Therapist0019019720VIRGINIAYes

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: 11/21/2025

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