Angela S Wanless

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA31729 Issued in FL

Practice address

119 Truxton Ave
Fort Walton Beach, FL 32547-2460

Phone

(850) 305-6006

NPI assigned

Mar 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1861662652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 KEPNER DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485144",
            "telephone_number": "850-243-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TRUXTON AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472460",
            "telephone_number": "850-305-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANLESS",
        "first_name": "ANGELA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA31729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Wallace, LCSW, LICSW
• Rachael Wallace, LMHC
• Kaylie Marie Walsh
• Bin Wang
• Yuan Wang, MD
• Burt William Ward, MD
• Francisca Marquita Ward, M.D.
• Susan Theresa Wardrop, P.T.A.
• Amanda Marie Warfield, OTR/L
• Pamela James Warner, D.O.

• Massage Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.