Isaac Galen Wallace in Durham - Massage Therapist
Isaac Galen Wallace - NPI 1730227216
Isaac Galen Wallace is a Massage Therapist in Durham, North Carolina. Isaac Galen Wallace practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Isaac Galen Wallace is 1730227216. The last update date is 2019-07-21.
Isaac Galen Wallace's current location address is 3326 Chapel Dr # 230, Durham, North Carolina. You can contact this provider via phone number 9192518437. The mailing address for Isaac Galen Wallace is 3326 Chapel Dr # 230, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Isaac Galen Wallace |
|---|---|
| Address | 3326 Chapel Dr # 230, Durham, North Carolina |
| Phone Number | 9192518437 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMBT |
NPI Number Detail
| NPI Number | 1730227216 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2019-07-21 |
Provider Mailing Address Detail
| Address | 3326 Chapel Dr # 230 |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277089964 |
| Phone Number | 9192518437 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 9478 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9478 | NC | MASSAGE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Isaac Galen Wallace by the Centers for Medicare & Medicaid Services (CMS)?
The Isaac Galen Wallace has been assigned the NPI (National Provider Identifier) 1730227216. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Isaac Galen Wallace?
The Isaac Galen Wallace is physically situated at 3326 Chapel Dr # 230, in the city of Durham, state of NC, with the postal code 277089964.
What is Isaac Galen Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Isaac Galen Wallace is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.
On what date was the 1730227216 assigned to Isaac Galen Wallace?
The Isaac Galen Wallace was issued its 1730227216 on 2007-02-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Isaac Galen Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Isaac Galen Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-07-21.