Organization
NEW RIVER MEDICCAL MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ERNEST WALLACE MASSAGE THERAPIST (OWNER/THERAPIST)
(540) 633-3828
Entity
Organization
Contact information
Practice address
319 W MAIN ST, RADFORD, VA 24141-1586
(540) 633-3828
(540) 633-3829
Mailing address
319 WEST MAIN STREET, RADFORD, VA 24301
(540) 633-3828
(540) 633-3829
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0019001695
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPY
VA
Enumeration date
06/04/2015
Last updated
06/04/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us