Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN MICHELLE WALLACE
Active Sole ProprietorKATHLEEN MICHELLE WALLACE is a Massage Therapist healthcare provider located in SOUTHERN PINES, North Carolina. NPI 1386441822 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SOUTHERN PINES, NC
Registration Details
- NPI Number
- 1386441822
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2025 (1.4392492017928 yrs)
- Last Updated
- Mar 3, 2025
- License
-
15420 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 N BENNETT STSOUTHERN PINES, NC, 283874809Browse NC providers · Browse ZIP 28387
- Phone
- 9106911669
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in SOUTHERN PINES, NC
| Name | Credential | NPI |
|---|---|---|
| MICHELE SANTIAGO | LMBT | 1386000628 |
| MRS. PAMELA HALL MARKS | LMBT | 1548802184 |
| MR. DUSTIN J DONAHUE | LMBT #4824 | 1104412261 |
| OSEMWEGIE EGHIDEMWIVBIE | LMBT, AAS, PT | 1730750746 |
| MELISSA ANDERSON | LMT | 1598405003 |
| BERENICE MALDONADO | LMT | 1679213169 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.