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Tanya L Wallace, LMT
Massage Therapist in Havre De Grace, Maryland
NPI 1457899965

Tanya L Wallace is a Massage Therapist based in Bel Air, MD. Tanya L Wallace practices in Havre De Grace, MD and has the professional credentials of LMT. The NPI Number for Tanya L Wallace is 1457899965 and holds a License No. M04748 (Maryland).

The current practice location address for Tanya L Wallace is 452 Congress Ave, Havre De Grace, MD and can be reached out via phone at 410-913-2752. You can also correspond with Tanya L Wallace through the mailing address at 901 CHESWOLD CT, BEL AIR, MD - 21014-5461 (mailing address contact number: 410-913-2752).

Location: 452 Congress Ave, Havre De Grace, MD, 21014-5461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457899965
Provider Name
Tanya L Wallace
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
452 Congress Ave, Havre De Grace, MD, 21014-5461
Phone Number
410-913-2752
Fax Number
Provider Enumeration Date
02/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
452 Congress Ave
City
Havre De Grace
State
Maryland
Zip
21078-3031
Phone Number
410-913-2752
Fax Number
person
Provider Business Mailing Address Details
Address
452 Congress Ave
City
Havre De Grace
State
Maryland
Zip
21078-3031
Phone Number
410-913-2752
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
M04748 (Maryland)
Definition
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.
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