Laura Waller, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

023440 Issued in NY

Practice address

7293 Buckley Rd Ste 102
Syracuse, NY 13212-2648

Phone

(315) 937-5954

NPI assigned

Feb 26, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hand in Health Massage & Wellness LTD

  • Massage Therapist
  • North Syracuse, NY
  • NPI 1699460162
  NPD
• Max Well Therapy L.L.C.

  • Physical Therapist
  • Flint, MI
  • NPI 1871544577

  Massage Therapist

  NPD (past)
• Max Well Therapy LLC

  • Physical Therapist
  • Grand Blanc, MI
  • NPI 1407042963

  Massage Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1144612201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7293 BUCKLEY RD STE 102",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132122648",
            "telephone_number": "315-937-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7293 BUCKLEY RD STE 102",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132122648",
            "telephone_number": "315-937-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "LAURA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "023440",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501006233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle N Wallace, RPH
• Erin Wallace
• Kyrsten Wallace, MD
• Jason M Wallen, MD
• Kim Gabrielle Wallenstein, M.D., PH.D.
• Jodi Beth Wallis, D.O.
• Christopher Wallon
• Hiba Tariq Wally, MBBS
• Christine Walpole
• Howard S Walsdorf, DC

• Massage Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.