Thomas Wallace , LMP
Massage Therapist • Vashon, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thomas Wallace has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Thomas Wallace, LMP was a registered Massage Therapist practicing in Vashon, WA. Throughout an active medical career spanning 8 years, Thomas Wallace provided care at the practice location at 17205 VASHON HWY SW until profile deactivation on 2023-10-21.
Practice Location & Contact Primary Location
17205 Vashon Hwy Sw
Suite B2
Vashon, WA 980704674
Specialty Benchmarks & Practice Insights
Comparative analytics for Massage Therapist in Vashon, WA
Practicing in Vashon, WA (13385 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 225700000X
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
Massage Therapist
Licensed Massage Practitioner
Chiropractor
Doctor of Chiropractic
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 21, 2023
NPI status registered as active in NPPES database
Registered at 17205 VASHON HWY SW, SUITE B2, VASHON, WA 980704674 (Tel: 2064631850)
Registered at PO BOX 299, VASHON, WA 980700299 (Tel: 2064631850)
Recorded as THOMAS WALLACE, LMP
Massage Therapist (License #MA00007689 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 299
Vashon, WA 980700299
Phone: 2064631850
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