NPI 1063242337

Bianca Nichole Wallace

Practitioner Massage Therapist Fayetteville, AR

Practice location

Address: 31 E Center St STE 205, Fayetteville, AR 72701-5385
Phone: (479) 388-1513

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 9289 (AR)

Other Massage Therapist providers in Arkansas →

Doula

Nursing Service Related Providers Taxonomy 374J00000X

Other Doula providers in Arkansas →

Registry record

NPI: 1063242337
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2024
Record last updated: 2 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.