MR. James Leeman Wallace, LMT
NPI #1841591559 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1841591559
- Entity Type
- Individual
- Name
- MR. James Leeman Wallace, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Nov 11, 2010
- Last Updated
- Nov 11, 2010
Practice Location
- Address
- 29650 SW COURTSIDE DR
- Address 2
- #14
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-7482
- Phone
- (503) 682-6774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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