TAFFY WALLACE
Massage Therapist

Address: 12211 N Paradise Village Pkwy S Apt 105, Phoenix, AZ 85032-7630

TAFFY WALLACE (NPI# 1942897061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942897061
Entity Type Individual
Full Name TAFFY WALLACE
Gender Female
Practice Address 12211 N Paradise Village Pkwy S Apt 105
Phoenix
AZ 85032-7630
Practice Telephone 3107434183
Mailing Address 111 E Dunlap Ave # 1148
Phoenix
AZ 85020-2807
Certification Date 2020-12-22
Enumeration Date 2020-12-22
Last Update Date 2020-12-22
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 225700000X Massage Therapist 193400000X MULTIPLE SINGLE SPECIALTY GROUP MT23493 AZ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 12211 N PARADISE VILLAGE PKWY S APT 105
City PHOENIX
State AZ
Zip Code 85032-7630

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1689298838 Eboni Nicole Morris Psychologist 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 2020-06-03
1326688573 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 2020-01-15
1740836642 Integrated Medical Services Inc Internal Medicine · Gastroenterology 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 2019-08-15
1639739576 Sarah Martin Physical Therapy Assistant Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 2019-06-13
1750846168 Conte Sport Performance Therapy LLC Physical Therapist 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 2019-02-11
1659848208 Pacific Dental Services Foundation Physician Assistant · Medical 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 2018-10-31
1083100812 Phoenix Interventional Pain Management, Pllc Anesthesiology · Pain Medicine 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 2018-07-04
1770074635 Np Professional LLC Clinic/Center · Multi-Specialty 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 2018-05-25
1932600020 North Phoenix Asc LLC Clinic/Center · Ambulatory Surgical 3329 E Bell Rd Ste A2-A5, Phoenix, AZ 85032 2018-02-23
1396263307 Cheryl Anne Miller Registered Nurse · School 15002 N. 32nd St., Phoenix, AZ 85032 2017-08-30
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255928925 Steve Schauer 2001 W Camelback Rd Ste 100, Phoenix, AZ 85015-3467 2020-12-28
1033706718 Santana Johns 1745 W Carol Ave Unit C, Phoenix, AZ 85021-2581 2020-12-28
1821685983 Tiffany Elise Parker 13625 S 48th St Apt 1056, Phoenix, AZ 85044-5046 2020-12-23
1043807324 Jeremiah Kendale Mack 16410 S 12th St Apt 213, Phoenix, AZ 85048-4007 2020-12-21
1073113221 Erin Clark 9014 W Cambridge Ave, Phoenix, AZ 85037-3430 2020-10-27
1205435823 Angelica Mitchum 15815 S Lakewood Pkwy W, 2051, Phoenix, AZ 85048-5850 2020-10-23
1598362618 Zeke Michael Mcnelly 1417 E Colter St Apt 15, Phoenix, AZ 85014-3052 2020-10-01
1386250520 Jeanne Thom 21150 N Tatum Blvd Apt 1045, Phoenix, AZ 85050-4296 2020-09-22
1649880253 Dwayne Pepper 1337 E Goldenrod St, Phoenix, AZ 85048-6231 2020-08-07
1942818828 Erika Mendoza 7546 W Forest Grove Ave, Phoenix, AZ 85043-1656 2020-07-16
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.