Individual provider · Type 1 NPI
Phimnara L. Wallace, LMT
Massage Therapist · Kemah, TX
NPI number
1346116589
Active
Practice location
409A Bradford Ave
Kemah, TX 77565-2371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT139073 (TX) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Other massage therapist providers in Kemah
About NPI 1346116589
Phimnara L. Wallace, LMT's National Provider Identifier is 1346116589, issued on Oct 15, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kemah, TX. The record was last updated on Oct 15, 2025.