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

Miss. Michelle Lynn Wallace, LMT

Individual provider Specialist · NPI 1497091805

Miss. Michelle Lynn Wallace, LMT is a Specialist in Eugene, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2012
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

508 Blair Blvd
Eugene, OR 97402-4630
Phone: (541) 543-0290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 12250 (OR)

Record details

NPI number1497091805
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedDecember 13, 2012
Last updated in NPPESDecember 13, 2012

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