James Wallisch is a Massage Therapist in Eagan, Minnesota. James Wallisch practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for James Wallisch is 1578783064. The last update date is 2007-07-08.
James Wallisch's current location address is 3390 Coachman, Eagan, Minnesota. You can contact this provider via phone number 6514524220 and fax number 6514523829. The mailing address for James Wallisch is 3390 Coachman, Eagan, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Wallisch |
|---|---|
| Address | 3390 Coachman, Eagan, Minnesota |
| Phone Number | 6514524220 |
| Fax Number | 6514523829 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1578783064 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3390 Coachman |
|---|---|
| City | Eagan |
| State | Minnesota (MN) |
| Post Code | 55121 |
| Phone Number | 6514524220 |
| Fax Number | 6514523829 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
|
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the James Wallisch's unique identification number?
The James Wallisch has been assigned the NPI (National Provider Identifier) Number 1578783064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the James Wallisch located?
The James Wallisch is located at 3390 Coachman, Eagan, MN 55121.
What is the James Wallisch's area of specialization and corresponding taxonomy classification?
The James Wallisch's specialty field is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1578783064 to James Wallisch?
The James Wallisch received its 1578783064 assignment from the Centers for Medicare & Medicaid Services on 2007-04-26.
As of what date were the details pertaining to James Wallisch last refreshed?
The information related to the James Wallisch, including its address, specialty, and other relevant details, was last updated on 2007-07-08.