Tanya L Wallace, LMT
NPI #1457899965 in Havre De Grace, Maryland
Provider Information
- NPI Number
- 1457899965
- Entity Type
- Individual
- Name
- Tanya L Wallace, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Feb 3, 2017
- Last Updated
- Feb 3, 2017
Practice Location
- Address
- 452 CONGRESS AVE
- City
- Havre De Grace
- State
- Maryland
- ZIP Code
- 21078-3031
- Phone
- (410) 913-2752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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Organizations
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|---|---|
| Massageworks Therapy Center, LLC | AI Deep Dive |
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