SANDRA EUGENIA WALLACE (NPI# 1518153295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518153295 |
| Entity Type | Individual |
| Full Name | SANDRA EUGENIA WALLACE |
| Other Name | SANDRA EUGENIA WALLACE |
| Credential | MASSAGE THERAPIST |
| Practice Address |
3627 Acornrun Ln Spring TX 77389-4721 |
| Practice Telephone | 2816517716 |
| Mailing Telephone | 2816517716 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 016400 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710910617 | Sandra Marie Wallace | Pharmacist | 4501 Outer Loop, Louisville, KY 40219-3856 | 2006-07-07 |
| 1912273301 | Sandra Marie Wallace | Registered Nurse | 180 7th Ave, Brooklyn, NY 11203 | 2012-03-29 |
| 1811182868 | Sandra Frances Wallace | Licensed Practical Nurse | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2007-09-12 |
| 1245350172 | Sandra V Wallace | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2007-04-02 |
| 1235140930 | Sandra Louise Wallace | Internal Medicine | 50 Alessandro Pl, Suite 360, Pasadena, CA 91105-3149 | 2006-08-10 |
| 1093748717 | Sandra J. Wallace | Occupational Therapist | 1701 N Collins Blvd, Suite 100, Richardson, TX 75080-3564 | 2006-07-08 |
| Street Address |
3627 ACORNRUN LN |
| City | SPRING |
| State | TX |
| Zip Code | 77389-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518550 | Leigh Alanna Todd | Social Worker | 25700 I-45, #415, Spring, TX 77389 | 2020-01-30 |
| 1700378353 | Misturat Adesanya | Family Medicine | 8727 W Rayford Dr, 160, Spring, TX 77389 | 2018-05-30 |
| 1720583800 | Diamond Minniefield | Chiropractor | 26400 Kuykendahl, Suite A #115, The Woodlands, TX 77389 | 2018-03-29 |
| 1154861722 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6635 N Grand Parkway, Sprint, TX 77389 | 2017-03-02 |
| 1861845703 | Ray Anthony Carlton II | Case Manager/Care Coordinator | 8422 Barmby Ct, Spring, TX 77389 | 2016-07-15 |
| 1750741427 | Melanie Deann Hutton | Occupational Therapist | 24902 Pikecrest Dr., Spring, TX 77389 | 2016-02-24 |
| 1366848251 | Timberwilde Eye Care, Pllc | Optometrist | 24504 Kuykendahl Dr, Suite 500, Spring, TX 77389 | 2014-11-05 |
| 1417359787 | Rcmh, LLC | Clinic/Center | 26500 Kuykendahl Rd., Spring, TX 77389 | 2014-09-18 |
| 1922425982 | Melissa Alice Balk-elliott | Dentist | 6710 Spring Stuebner Rd. Ste 700, Spring, TX 77389 | 2014-03-27 |
| 1881025054 | Erilyn White | Nurse Practitioner | 23155 Ih-45, Spring, TX 77389 | 2013-12-12 |
| Find all providers in zip 77389 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306335575 | Destiny Lmt | Massage Therapist | 23221 Aldine Westfield Rd Ste 724, Spring, TX 77373-8030 | 2018-05-03 |
| 1720582471 | Jonah Devuan Brooks | Massage Therapist | 5521 Louetta Rd Ste B, Spring, TX 77379-7879 | 2018-03-19 |
| 1356867824 | Daniel Masandag De Guzman | Massage Therapist | 7111 Fm 2920 Rd Ste No113, Spring, TX 77379-2208 | 2017-08-16 |
| 1588107304 | Donna Ann Mcclimans | Massage Therapist | 25901 Ih 45 N, Suite B, Spring, TX 77380-3651 | 2016-11-28 |
| 1780137943 | Christian Delahoussaye | Massage Therapist | 23911 Goodfellow Dr, Spring, TX 77373-8566 | 2016-07-24 |
| 1184072720 | Shenequia Limbrick | Massage Therapist | 24118 Azure Sky Dr, Spring, TX 77373-6388 | 2016-05-24 |
| 1376900233 | Yolanda Gean Williams | Massage Therapist | 5529 Louetta Rd, Suite A, Spring, TX 77379 | 2016-01-24 |
| 1871997882 | Consuella N. Taylor | Massage Therapist | 17742 Seven Pines Dr, Spring, TX 77379-4132 | 2014-10-20 |
| 1447651658 | Michael Hewitt | Massage Therapist | 23026 Briarcreek Blvd, Spring, TX 77373-6419 | 2014-09-07 |
| 1457774150 | Christy Jean Conley | Massage Therapist | 25411 Friar Lake Ln, Spring, TX 77373-6098 | 2014-01-31 |
| Find all providers in SPRING | ||||
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| 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.