Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639744436 Individual Practitioner Female Practitioner

Olivia Wallace

Massage Therapist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Olivia Wallace is a registered healthcare professional specializing in Massage Therapist in Longview, WA. Practice services are available at 820 OCEAN BEACH HWY STE 116 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

820 Ocean Beach Hwy Ste 116

Longview, WA 986324081

Telephone 3604143220
Fax 3603535350
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
71 Specialists

Practicing in Longview, WA (13385 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: 2021-05-24
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA 61161174

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1013276906

Licensed Massage Therapist

Jennifer Young

Massage Therapist

NPI 1013480268
Kristen Bauer , LMP

Massage Therapist

NPI 1083028658

Licensed Massage Practitioner

Robert Loren

Massage Therapist

NPI 1104757103
Heather Bryan

Massage Therapist

NPI 1245860279
Dawn Rogerson

Massage Therapist

NPI 1518724343

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 24, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2021

Registered at 820 OCEAN BEACH HWY STE 116, LONGVIEW, WA 986324081 (Tel: 3604143220)

📍
Updated Business Mailing Address May 24, 2021

Registered at 820 OCEAN BEACH HWY STE 116, LONGVIEW, WA 986324081 (Tel: 3604143220)

👤
Provider Name / Credentials Updated May 24, 2021

Recorded as OLIVIA WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2021

Massage Therapist (License #61161174 in WA)

🟢
Initial NPI Registration & Enumeration May 24, 2021

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: 1639744436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2021
Last Update: May 24, 2021
Sole Proprietor: No

Mailing Address

820 Ocean Beach Hwy Ste 116

Longview, WA 986324081

Phone: 3604143220

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.