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Beverly Gail Wallis

NPI 1467047159ActiveIndividual· Massage Therapist· Branson, MO

Massage Therapist in Branson, Missouri, with an NPI issued in March 2021.

Overview

NPI1467047159
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMar 4, 2021
Last updated in NPPESMar 4, 2021
Certified by providerMar 4, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Massage Therapist Primary225700000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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