Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841124617 Individual Practitioner Female Practitioner

Jaley Jeanette Wallace , LMT

Massage Therapist • Longview, TX

Professional Overview & Biography Verified Profile Summary

Jaley Wallace, LMT is a registered healthcare professional specializing in Massage Therapist in Longview, TX. Practice services are available at 4406 JUDSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4406 Judson Rd

Longview, TX 75605

Telephone 9032855803

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Longview, TX (3157 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-27
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License TX MT141433

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 09, 2026

NPI status registered as active in NPPES database

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Updated Practice Location June 09, 2026

Registered at 4406 JUDSON RD, LONGVIEW, TX 75605 (Tel: 9032855803)

📍
Updated Business Mailing Address June 09, 2026

Registered at 1137 KENSINGTON CT, LONGVIEW, TX 756051475 (Tel: 9032855803)

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Provider Name / Credentials Updated June 09, 2026

Recorded as JALEY WALLACE, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2026

Massage Therapist (License #MT141433 in TX)

🟢
Initial NPI Registration & Enumeration June 09, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841124617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2026
Last Update: June 09, 2026
Sole Proprietor: Yes

Mailing Address

1137 Kensington Ct

Longview, TX 756051475

Phone: 9032855803

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.