Felecia Zanetta Wallace in Atlanta - Massage Therapist

Felecia Zanetta Wallace - NPI 1134317514

Felecia Zanetta Wallace is a Massage Therapist in Atlanta, Georgia. Felecia Zanetta Wallace practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Felecia Zanetta Wallace is 1134317514. The last update date is 2007-10-10.

Felecia Zanetta Wallace's current location address is 1605 Silver Petal Way, Atlanta, Georgia. You can contact this provider via phone number 4049336780. The mailing address for Felecia Zanetta Wallace is 1605 Silver Petal Way, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Felecia Zanetta Wallace
Address 1605 Silver Petal Way, Atlanta, Georgia
Phone Number 4049336780
Fax Number
Sole Proprietor Y
Credentials LMT, CMT

NPI Number Detail

NPI Number 1134317514
Provider Enumeration Date 2007-10-10
Last Updated Date 2007-10-10

Provider Mailing Address Detail

Address 1605 Silver Petal Way
City Atlanta
State Georgia (GA)
Post Code 303497502
Phone Number 4049336780
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MT001218
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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FAQs about Felecia Zanetta Wallace

What is the Felecia Zanetta Wallace's 1134317514?

The Felecia Zanetta Wallace's NPI (National Provider Identifier) Number is 1134317514. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Felecia Zanetta Wallace is located?

The Felecia Zanetta Wallace is situated at the following address: 1605 Silver Petal Way, Atlanta, GA, 303497502.

What is the Felecia Zanetta Wallace's area of specialization and corresponding taxonomy classification?

The Felecia Zanetta Wallace's specialty field is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their specialties.

When did Felecia Zanetta Wallace receive its 1134317514 assignment?

The Felecia Zanetta Wallace was assigned its 1134317514 on 2007-10-10, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Felecia Zanetta Wallace most recently updated or revised?

The information pertaining to Felecia Zanetta Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-10.

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