MISS Michelle Lynn Wallace, LMT

NPI #1497091805 in Eugene, Oregon

Provider Information

NPI Number
1497091805
Entity Type
Individual
Name
MISS Michelle Lynn Wallace, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
LMT
Enumeration Date
Dec 13, 2012
Last Updated
Dec 13, 2012

Practice Location

Address
508 BLAIR BLVD
City
Eugene
State
Oregon
ZIP Code
97402-4630
Phone
(541) 543-0290

Specialties & Taxonomy Codes

Specialty
Specialist

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