What is Tara Wallace's NPI number?

Tara Wallace's National Provider Identifier (NPI) is 1790124378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tara Wallace's specialty?

Tara Wallace is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Tara Wallace located?

Tara Wallace's practice location on file with NPPES is 2633 Babble Creek Ln, O Fallon, MO 63368-8338.

What is Tara Wallace's phone number?

The practice phone number listed in the NPPES registry for Tara Wallace is (636) 577-1216.

Is Tara Wallace's NPI active?

Yes — Tara Wallace's NPI (1790124378) is active in the NPPES registry as of the last update on 2013-06-18.

IndividualActive

Tara Wallace, LMT, MMP

NPI 1790124378 · Specialist · O Fallon, MO

Tara Wallace, LMT, MMP is a Specialist provider in O Fallon, MO (NPI 1790124378).

Provider details

NPI number: 1790124378
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: LMT, MMP
Sex: Female
Sole proprietor: Yes
License: 2001032642 (MO)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 2001032642 (MO)
Other Service Providers

Profile Score

Detailed profile(77/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2633 Babble Creek Ln

O Fallon, MO 63368-8338

Phone: (636) 577-1216

Fax: (636) 294-0837

Street-level locationGet directions

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Mailing address