MELISSA WALLACE (NPI# 1619267101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619267101 |
Entity Type | Individual |
Full Name | MELISSA WALLACE |
Practice Address |
161 Cactus Ct Louisville KY 40229-3109 |
Practice Telephone | 5025106747 |
Enumeration Date | 2011-04-18 |
Last Update Date | 2011-04-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 3806 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396271243 | Melissa Wallace | Physical Therapy Assistant | 3685 Mcconnells Hwy W, Sharon, SC 29742-5710 | 2017-05-11 |
1841656311 | Melissa Emily Wallace | Social Worker | 1014 S Florida Ave Fl 2, Lakeland, FL 33803-1130 | 2016-01-13 |
1285903955 | Melissa Wallace | Physical Therapist | 582 Hwy 365 Ste 3, Mayflower, AR 72106 | 2011-12-23 |
1972068278 | Melissa S Wallace | Licensed Practical Nurse | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2019-01-31 |
1881189181 | Melissa Sue Wallace | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2018-06-28 |
1023524501 | Melissa Ann Wallace | Nurse Practitioner | 905 University Dr, State College, PA 16801-6626 | 2017-12-20 |
1538609110 | Melissa Wallace | Case Manager/Care Coordinator | 1124 College Dr, Rock Springs, WY 82901-5863 | 2017-03-02 |
1538607767 | Melissa Wallace | Counselor | 841 Riverside Dr, Suite B, Augusta, ME 04330-8302 | 2017-02-08 |
1366804064 | Melissa Wallace | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2016-03-22 |
1972988640 | Melissa Wallace | Social Worker | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2015-07-23 |
Street Address |
161 CACTUS CT |
City | LOUISVILLE |
State | KY |
Zip Code | 40229-3109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
1649472655 | Janice K Jones | Physical Therapy Assistant | 5111 Commerce Crossing Suite 100, Louisville, KY 40229 | 2007-06-01 |
1528102183 | R Douglas Edwards Jr. | Dentist | 3807 Freedom Way, Louisville, KY 40229 | 2007-02-16 |
1407833940 | Robert D Bretz | Radiology | 879 Old Preston Highway North, Louisville, KY 40229 | 2005-12-27 |
1134606619 | Brynn Ashley Dombroski | Behavioral Analyst | 5215 Commerce Crossings Dr, Louisville, KY 40229 | 2018-07-26 |
1669972923 | Mariah Evelyn Laird | Occupational Therapist | 5215 Commerce Crossings Dr, Louisville, KY 40229 | 2018-02-13 |
1992219174 | Noelle Allison Lang | Anesthesiology | 11901 Standiford Plaza Dr, Louisville, KY 40229 | 2017-11-26 |
1134664949 | Jessica Ann Mattingly | Nurse Practitioner | 170 Dr Arla Way, Louisville, KY 40229 | 2017-01-03 |
1356727929 | Meredith Kyle-alvey Luckett | Physical Therapist | 170 Dr Arla Way, Louisville, KY 40229 | 2015-08-06 |
1861688459 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 9500 Preston Hwy, Louisville, KY 40229-1166 | 2007-09-18 |
Find all providers in zip 40229 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093312589 | Jorden E. Duvall | Massage Therapist | 703 W Ashland Ave, Louisville, KY 40215-2403 | 2020-10-07 |
1538766787 | Talina Rene Loren | Massage Therapist | 1340 S 3rd St Apt 217, Louisville, KY 40208-2332 | 2020-10-01 |
1114532579 | Megan Trodglen | Massage Therapist | 3607 Ethelwood Dr, Louisville, KY 40299-3339 | 2020-09-12 |
1477166783 | Victoria Newman | Massage Therapist | 543 N 44th St, Louisville, KY 40212-2710 | 2020-08-26 |
1013529858 | Amber Nicole Squires | Massage Therapist | 2044 Midland Ave Apt 2, Louisville, KY 40204-2287 | 2020-08-22 |
1710599865 | Jessica D Boyd | Massage Therapist | 10102 Summit Park Pl Apt 201, Louisville, KY 40241-3833 | 2020-08-20 |
1124630363 | Karli Shae Neutz | Massage Therapist | 1860 Mellwood Ave Ste 179, Louisville, KY 40206-1033 | 2020-08-19 |
1093332330 | Elizabeth Heustis | Massage Therapist | 1012 Bluegrass Ave, Louisville, KY 40215-2314 | 2020-07-02 |
1396371860 | Marcella Alice Thompson | Massage Therapist | 5516 Overbrook Woods Pl Apt 103, Louisville, KY 40291-5436 | 2020-03-17 |
1154951432 | Suwannee Norwood | Massage Therapist | 3608 Springhurst Blvd, Louisville, KY 40241-4142 | 2020-01-24 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40229 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.