STEVEN MARK WALLACE (NPI# 1649779950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649779950 |
| Entity Type | Individual |
| Full Name | STEVEN MARK WALLACE |
| Credential | L.M.T |
| Practice Address |
1001 W. Oak St. Bldg C. Ste. 210 Bozeman MT 59715 |
| Practice Telephone | 4065878446 |
| Practice Fax Number | 4065870898 |
| Mailing Telephone | 4065878446 |
| Mailing Fax Number | 4065870898 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13742 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073029864 | Steven E Wallace | Community/Behavioral Health | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2017-12-16 |
| 1922461847 | Steven James Wallace | Developmental Therapist | 345a Greenwood St Ste B, Worcester, MA 01607-1753 | 2016-03-29 |
| 1851713952 | Steven Gregory Wallace Jr. | Physician Assistant | 511 W Alexander St, Plant City, FL 33563-7116 | 2014-01-09 |
| 1457515587 | Steven Earl Wallace | Specialist/Technologist, Other | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2008-07-17 |
| 1114986551 | Steven F. Wallace | Pediatrics | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2006-03-23 |
| Street Address |
1001 W. OAK ST. BLDG C. STE. 210 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| 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 |
|---|---|---|---|---|
| 1316548217 | Sarah Elena Barrios | Massage Therapist | 101 Paisley Ct Apt A, Bozeman, MT 59715-7327 | 2020-11-05 |
| 1225662513 | Isaiah Michael Duff | Massage Therapist | 2405 W Main Street Unit 5, Bozeman, MT 59718-5971 | 2020-02-26 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1710518204 | Lara Schulz | Massage Therapist | 403 W Main St Apt 2c, Bozeman, MT 59715-4529 | 2020-02-03 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1083175822 | Debra Shope | Massage Therapist | 9062 Haggerty Ln, Bozeman, MT 59715-9258 | 2019-03-26 |
| 1669939690 | Kristen Dennis | Massage Therapist | 15 Macee Ln, Bozeman, MT 59718-7479 | 2019-02-26 |
| 1477027001 | Thomas Schieffer | Massage Therapist | 875 Bridger Dr Unit J, Bozeman, MT 59715-2303 | 2019-01-16 |
| 1124598610 | Amy L Kinman | Massage Therapist | 611 N Wallace Ave Ste 2, Bozeman, MT 59715-3082 | 2018-11-28 |
| Find all providers in BOZEMAN | ||||
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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.