PAMELA J WALL LMT
NPI 1629283296
Massage Therapist in Eldon, MO
- Individual
- Female
- Massage Therapist
About PAMELA WALL
This page provides the complete NPI Profile along with additional information for Pamela Wall, a provider established in Eldon, Missouri with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1629283296 assigned on May 2007. The practitioner's primary taxonomy code is 225700000X with license number 2004007483 (MO). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1629283296 Verify this NPI
- Provider Name
- PAMELA J WALL LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 18 S MAPLE ST ELDON, MO 65026
- Location Phone
- (573) 392-4181
- Mailing Address
- 18 S MAPLE ST ELDON, MO 65026
- Mailing Phone
- (573) 392-4181
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-14-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 2004007483
- License State
- MO
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629283296, enumerated as an "individual" on May 14, 2007.
The provider is located at 18 S MAPLE ST ELDON, MO 65026 and the phone number is (573) 392-4181.
Massage Therapist with taxonomy code 225700000X.
