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NEW RIVER MEDICCAL MASSAGE
NPI 1194105247
Specialist in Radford, VA

Active since June 04, 2015
319 W MAIN ST, RADFORD, VA 24141(540) 633-3828(540) 633-3829 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About New River Mediccal Massage NPPES

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

NEW RIVER MEDICCAL MASSAGE (NPI 1194105247) is a healthcare organization registered as a specialist in Radford, Virginia and active in the NPI registry since June 2015. The organization lists Robert Ernest Wallace, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1194105247
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEW RIVER MEDICCAL MASSAGE
Location Address319 W MAIN STRadford, VA 24141-1586
Mailing Address319 West Main StreetRadford, VA 24301 · (540) 633-3828 · Fax (540) 633-3829
Phone(540) 633-3828
Fax(540) 633-3829
Organization SubpartNo
Authorized OfficialRobert Ernest WallaceOwner/therapist · (540) 633-3828
Enumeration DateJune 4, 2015
✔ NPI 1194105247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0019001695
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

319 W MAIN ST, Radford, VA 24141
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Other Identifiers 1

Other225700000XVA · Massage Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 New River Mediccal Massage's NPI number?

The NPI number for New River Mediccal Massage is 1194105247. It was assigned to this organization in the NPPES registry on June 4, 2015.

Where is New River Mediccal Massage located?

New River Mediccal Massage is located at 319 W Main St, Radford, VA 24141. The listed phone number is (540) 633-3828.

What is New River Mediccal Massage's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for New River Mediccal Massage was last updated on June 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.