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BIANCA NICHOLE WALLACE
NPI 1063242337
Massage Therapist in Fayetteville, AR

Active since August 02, 2024
31 E CENTER ST STE 205, FAYETTEVILLE, AR 72701(479) 388-1513 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bianca Nichole Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIANCA NICHOLE WALLACE (NPI 1063242337) is an individual massage therapist in Fayetteville, Arkansas, licensed in Arkansas (9289) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1063242337
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameBIANCA NICHOLE WALLACE
Location Address31 E CENTER ST STE 205Fayetteville, AR 72701-5385
Mailing Address31 E Center St Ste 205Fayetteville, AR 72701-5385 · (479) 388-1513
Phone(479) 388-1513
Sole ProprietorNo
Enumeration DateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
✔ NPI 1063242337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in AR · 9289
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.
Also ListedDoulaTaxonomy 374J00000X
31 E CENTER ST STE 205, Fayetteville, AR 72701
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bianca Wallace's NPI number?

The NPI number for Bianca Wallace is 1063242337. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Where is Bianca Wallace located?

Bianca Wallace practices at 31 E Center St Ste 205, Fayetteville, AR 72701. The listed phone number is (479) 388-1513.

What is Bianca Wallace's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Bianca Wallace was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.