Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BIANCA NICHOLE WALLACE
ActiveBIANCA NICHOLE WALLACE is a Massage Therapist healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1063242337 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1063242337
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2024 (2.0573093520085 yrs)
- Last Updated
- Aug 2, 2024
- License
-
9289 (AR)
Practice Information
- Address
-
31 E CENTER ST STE 205FAYETTEVILLE, AR, 727015385Browse AR providers · Browse ZIP 72701
- Phone
- 4793881513
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| DERICK WADE CUNNINGHAM | LMT | 1942594437 |
| CARLA DAWN BRANDOW | MMT | 1346599974 |
| DONALD PIRANTY | LMT | 1396080990 |
| AMBER O'DELL | — | 1699228700 |
| MR. WILLIAM M. HALL | N.M.T., L.M.T | 1972038735 |
| BRADLEY JAMES GICZKOWSKI | LMT | 1649781014 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.