Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taffy Wallace

Individual provider Massage Therapist · NPI 1942897061

Taffy Wallace is a Massage Therapist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

12211 N Paradise Village Pkwy S Apt 105
Phoenix, AZ 85032-7630
Phone: (310) 743-4183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT23493 (AZ)

Record details

NPI number1942897061
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020

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