| Breeanna Wallace, LMT, MLD-C | |
|
180 Clear Creek Dr Ste 104, Ashland, OR 97520-1993 | |
| (907) 978-8989 | |
| Not Available |
| Full Name | Breeanna Wallace |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 180 Clear Creek Dr Ste 104, Ashland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790325470 | NPI | - | NPPES |
| 1437273125 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 27902 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Breeanna Wallace, LMT, MLD-C 180 Clear Creek Dr Ste 104, Ashland, OR 97520-1993 Ph: (907) 978-8989 | Breeanna Wallace, LMT, MLD-C 180 Clear Creek Dr Ste 104, Ashland, OR 97520-1993 Ph: (907) 978-8989 |
Lilly Pearl Baty, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 485 E Main St, Suite 06, Ashland, OR 97520 Phone: 541-631-1538 | |
Daniel E Salisbury, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 Garfield St, Ashland, OR 97520 Phone: 541-621-9020 | |
Jennifer Bernoulli, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 E Hersey St Ste 17, Ashland, OR 97520 Phone: 541-531-1766 | |
Jon Mclaughlin, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1108 Iowa St, Ashland, OR 97520 Phone: 541-613-0400 | |
Shannon Tinder, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 684 E Valley View Rd, Ashland, OR 97520 Phone: 707-834-1276 | |
Brittany Allison, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Clear Creek Dr, Ashland, OR 97520 Phone: 541-625-9004 | |
Kayla R Flannery, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 N Main St, Ashland, OR 97520 Phone: 541-245-4444 |