person
Wachira Wallis
Massage Therapist in St Petersburg, Florida
NPI 1467116400

Wachira Wallis is a Massage Therapist based in St Petersburg, FL. Wachira Wallis practices in St Petersburg, FL. The NPI Number for Wachira Wallis is 1467116400 and holds a License No. MA98518 (Florida).

The current practice location address for Wachira Wallis is 10601 Gandy Blvd N Apt 6412, St Petersburg, FL and can be reached out via phone at 412-799-3377.

Location: 10601 Gandy Blvd N Apt 6412, St Petersburg, FL, 33702-1543
person
Provider Profile Details
NPI Number
1467116400
Provider Name
Wachira Wallis
Credential
Provider Entity Type
Individual
Gender
Male
Address
10601 Gandy Blvd N Apt 6412, St Petersburg, FL, 33702-1543
Phone Number
412-799-3377
Fax Number
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10601 Gandy Blvd N Apt 6412
City
State
Zip
33702-1543
Phone Number
412-799-3377
Fax Number
person
Provider Business Mailing Address Details
Address
10601 Gandy Blvd N Apt 6412
City
State
Zip
33702-1543
Phone Number
412-799-3377
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA98518 (Florida)
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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