Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANYA L WALLACE, LMT
Active Sole ProprietorTANYA L WALLACE, LMT is a Massage Therapist healthcare provider located in HAVRE DE GRACE, Maryland. NPI 1457899965 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · HAVRE DE GRACE, MD
Registration Details
- NPI Number
- 1457899965
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2017 (9.5095123495253 yrs)
- Last Updated
- Feb 3, 2017
- License
-
M04748 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
452 CONGRESS AVEHAVRE DE GRACE, MD, 210783031Browse MD providers · Browse ZIP 21078
- Phone
- 4109132752
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in HAVRE DE GRACE, MD
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH M SAENZ | LMT | 1205228103 |
| MRS. PATRICIA LYNN MARTIN | RMP | 1881366409 |
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.