NPI 1396629077

Glenda Fuller, LMT

Practitioner Massage Therapist North Little Rock, AR

Practice location

Address: 9224 Maumelle Blvd, North Little Rock, AR 72113-6678
Phone: (501) 333-4433
Mailing address: 82 Rolling Oaks Dr, Maumelle, AR 72113-6806

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 4226 (AR)

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Registry record

NPI: 1396629077
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2025
Record last updated: 4 Aug 2025

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.