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Wesley Waller
Massage Therapist in Tallahassee, Florida
NPI 1508636127

Wesley Waller is a Massage Therapist based in Tallahassee, FL. Wesley Waller practices in Tallahassee, FL. The NPI Number for Wesley Waller is 1508636127 and holds a License No. MA104192 (Florida).

The current practice location address for Wesley Waller is 1700 N Monroe St # 11-183, Tallahassee, FL and can be reached out via phone at 502-510-3618. You can also correspond with Wesley Waller through the mailing address at 1700 N MONROE ST # 11-183, TALLAHASSEE, FL - 32303-5535 (mailing address contact number: ).

Location: 1700 N Monroe St # 11-183, Tallahassee, FL, 32303-5535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508636127
Provider Name
Wesley Waller
Credential
Provider Entity Type
Individual
Gender
Male
Address
1700 N Monroe St # 11-183, Tallahassee, FL, 32303-5535
Phone Number
502-510-3618
Fax Number
Provider Enumeration Date
01/04/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1700 N Monroe St # 11-183
City
Tallahassee
State
Florida
Zip
32303-5535
Phone Number
502-510-3618
Fax Number
person
Provider Business Mailing Address Details
Address
1700 N Monroe St # 11-183
City
Tallahassee
State
Florida
Zip
32303-5535
Phone Number
502-510-3618
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA104192 (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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