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TAFFY WALLACE
NPI 1942897061
Massage Therapist in Phoenix, AZ

Active since December 22, 2020
12211 N PARADISE VILLAGE PKWY S APT 105, PHOENIX, AZ 85032(310) 743-4183 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Taffy Wallace NPPES

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

TAFFY WALLACE (NPI 1942897061) is an individual massage therapist in Phoenix, Arizona, licensed in Arizona (MT23493) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1942897061
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTAFFY WALLACE
Location Address12211 N PARADISE VILLAGE PKWY S APT 105Phoenix, AZ 85032-7630
Mailing Address111 E Dunlap Ave # 1148Phoenix, AZ 85020-2807
Phone(310) 743-4183
Sole ProprietorYes
Enumeration DateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1942897061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in AZ · MT23493
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.

12211 N PARADISE VILLAGE PKWY S APT 105, Phoenix, AZ 85032
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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 MULTIPLE SINGLE SPECIALTY GROUP

Reviews for TAFFY WALLACE

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Frequently Asked Questions

What is Taffy Wallace's NPI number?

The NPI number assigned to this healthcare provider is 1942897061, enumerated as an "individual" on December 22, 2020.

Where is the provider located?

The provider is located at 12211 N PARADISE VILLAGE PKWY S APT 105 PHOENIX, AZ 85032 and the phone number is (310) 743-4183.

What is the provider's specialty?

Massage Therapist with taxonomy code 225700000X.