Individual provider · Type 1 NPI

Kathleen Michelle Wallace

Massage Therapist · Southern Pines, NC

NPI number 1386441822 Active

Practice location

150 N Bennett St
Southern Pines, NC 28387-4809

Call (910) 691-1669 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15420 (NC)

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.

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About NPI 1386441822

Kathleen Michelle Wallace's National Provider Identifier is 1386441822, issued on Mar 3, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Southern Pines, NC. The record was last updated on Mar 3, 2025.