IndividualActive
Joann Wallace, LMT
NPI 1912845132 · Massage Therapist · Spearfish, SD
Provider details
- NPI number
- 1912845132
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT11445 (SD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
529 N Main St
Spearfish, SD 57783-2345
Phone: (605) 641-4674
Approximate (ZIP-level) locationGet directions
Mailing address
805 Harvard St Apt a
Spearfish, SD 57783-1898
Registry dates
- Enumerated
- 2026-03-23
- Last updated
- 2026-03-23
- Certified
- 2026-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.