IndividualActive
Pamela Wall, LMT
NPI 1629283296 · Massage Therapist · Eldon, MO
Provider details
- NPI number
- 1629283296
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2004007483 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
18 S Maple St
Eldon, MO 65026-1834
Phone: (573) 392-4181
Approximate (ZIP-level) locationGet directions
Mailing address
18 S Maple St
Eldon, MO 65026-1834
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.