Breeanna Wallace LMT, MLD-C

NPI # 

Practice Address:

180 Clear Creek Dr Ste 104

Ashland, OR, 97520-1993

Practice Phone:

907-978-8989

License Number:

27902

License State:

OR

Taxonomy Grouping:

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Classification:

Massage Therapist

Taxonomy Code:

225700000X

Updated by NPPES on 4/30/2025. You can view the original data set for NPI # 1790325470 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Breeanna Wallace , LMT, MLD-C 's

CMS CPT® coding data

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Breeanna Wallace , LMT, MLD-C 's

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