IndividualActive
Allen Wallace
NPI 1366059313 · Massage Therapist · Aurora, CO
Provider details
- NPI number
- 1366059313
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
3787 S Fairplay Way
Aurora, CO 80014-4025
Registry dates
- Enumerated
- 2020-09-24
- Last updated
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.