Olivia Wallace
Olivia Wallace is a Massage Therapist in Longview, Washington. Licensed in Washington. Registered with an NPI since 2021.
- Licensed in
- WA
- In the registry since
- 2021
Practice location Address checks out
820 Ocean Beach Hwy Ste 116Longview, WA 98632-4081
Phone: (360) 414-3220
Fax: (360) 353-5350
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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 61161174 (WA) |
|---|
Record details
| NPI number | 1639744436 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 24, 2021 |
| Last updated in NPPES | May 24, 2021 |
| Certification date | May 24, 2021 |
| Mailing address | 820 Ocean Beach Hwy Ste 116, Longview, WA 98632-4081 |
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