Jessica Lynn Wallace, LMT
NPI #1851807366 in Gresham, Oregon
Provider Information
- NPI Number
- 1851807366
- Entity Type
- Individual
- Name
- Jessica Lynn Wallace, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Dec 19, 2017
- Last Updated
- Mar 24, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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