Mrs Kore Io Eliza Wallace, LMP, MMP is a
Massage Therapist based in Burnsville, North Carolina. Mrs Kore Io Eliza Wallace is licensed to practice in North Carolina (license number 09118) and her current practice location is
120 Thimbleberry Holw, Burnsville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(828) 231-9523.
NPI number for Mrs Kore Io Eliza Wallace is 1235489345 and her current mailing address is 120 Thimbleberry Holw, Burnsville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235489345.
Healthcare Provider's Profile
Full Name | Mrs Kore Io Eliza Wallace |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 120 Thimbleberry Holw, Burnsville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235489345
- Provider Enumeration Date: 09/16/2012
- Last Update Date: 09/16/2012
Medical Identifiers
Medical identifiers for Mrs Kore Io Eliza Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235489345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 09118 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kore Io Eliza Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kore Io Eliza Wallace, LMP, MMP 120 Thimbleberry Holw, Burnsville, NC 28714-6362 Ph: (828) 231-9523 | Mrs Kore Io Eliza Wallace, LMP, MMP 120 Thimbleberry Holw, Burnsville, NC 28714-6362 Ph: (828) 231-9523 |
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