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

Jaley Jeanette Wallace, LMT

Individual provider Massage Therapist · NPI 1841124617

Jaley Jeanette Wallace, LMT is a Massage Therapist in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

4406 Judson Rd
Longview, TX 75605
Phone: (903) 285-5803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT141433 (TX)

Record details

NPI number1841124617
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateMay 27, 2026
Mailing address1137 Kensington Ct, Longview, TX 75605-1475

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