Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breeanna Wallace, LMT, MLD-C

Individual provider Massage Therapist · NPI 1790325470

Breeanna Wallace, LMT, MLD-C is a Massage Therapist in Ashland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

180 Clear Creek Dr Ste 104
Ashland, OR 97520-1993
Phone: (907) 978-8989
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 27902 (OR)

Record details

NPI number1790325470
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , MLD-C
Sole proprietorNo
NPI enumeratedJanuary 10, 2020
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Other providers in Ashland