Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREEANNA WALLACE, LMT, MLD-C
ActiveBREEANNA WALLACE, LMT, MLD-C is a Massage Therapist healthcare provider located in ASHLAND, Oregon. NPI 1790325470 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · ASHLAND, OR
Registration Details
- NPI Number
- 1790325470
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2020 (6.6153039762736 yrs)
- Last Updated
- Apr 30, 2025
- License
-
27902 (OR)
Practice Information
- Address
-
180 CLEAR CREEK DR STE 104ASHLAND, OR, 975201993Browse OR providers · Browse ZIP 97520
- Phone
- 9079788989
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in ASHLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MR. BENJAMIN GRUNDE | LMT | 1982750378 |
| JANE BARTON | LMT | 1225179930 |
| DANIEL E SALISBURY | L.M.T. | 1003945791 |
| LEILANI L LUNDAHL | — | 1295955771 |
| PHILIP WHITMORE | L.M.T. | 1104006931 |
| MR. DENNIS L SPECHT | LMT | 1154599223 |
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.