Breeanna Wallace, LMT, MLD-C
NPI 1790325470 · Massage Therapist · Ashland, OR
Breeanna Wallace, LMT, MLD-C is a Massage Therapist provider in Ashland, OR (NPI 1790325470).
Provider details
- NPI number
- 1790325470
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT, MLD-C
- Sex
- Female
- Sole proprietor
- No
- License
- 27902 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2020-01-10
- Last updated
- 2025-04-30
- Certified
- 2025-04-30
Frequently asked questions
- What is Breeanna Wallace's NPI number?
- Breeanna Wallace's National Provider Identifier (NPI) is 1790325470, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Breeanna Wallace's specialty?
- Breeanna Wallace is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Breeanna Wallace located?
- Breeanna Wallace's practice location on file with NPPES is 180 Clear Creek Dr Ste 104, Ashland, OR 97520-1993.
- What is Breeanna Wallace's phone number?
- The practice phone number listed in the NPPES registry for Breeanna Wallace is (907) 978-8989.
- Is Breeanna Wallace's NPI active?
- Yes — Breeanna Wallace's NPI (1790325470) is active in the NPPES registry as of the last update on 2025-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.