Joshua Wallace, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-LMT-LIC-13720 Issued in MT

Practice address

1001 W Oak St
BLDG. C Ste. 210
Bozeman, MT 59715

Phone

(406) 587-8446

Fax

(406) 587-0898

NPI assigned

Apr 1, 2019

Last updated

Apr 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1639631633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W OAK ST",
            "address_2": "BLDG. C STE. 210",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-8446",
            "fax_number": "406-587-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W OAK ST",
            "address_2": "BLDG. C STE. 210",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-8446",
            "fax_number": "406-587-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JOSHUA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LMT-LIC-13720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bookkeeping@absarokapainandrehab.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 W OAK ST",
            "address_2": "BLDG. C STE. 210",
            "city": "BOZEMAN",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hillary Waldeisen
• Catherine F Walgren, PAC
• Rachel Walker
• Tammy Jane Walker, OTR
• Adrianne V Wallace, MFTLC
• Maureen V Wallace, MPT
• Richard M. Wallace, M.D.
• Steven Mark Wallace, L.M.T
• Kimberly Glendoria Wallen, CRNA
• John L Waller, MD

• Massage Therapist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.