Individual provider · Type 1 NPI

Kathleen Wallace

Massage Therapist · Hicksville, NY

NPI number 1922983279 Active

Practice location

608 S Oyster Bay Rd
Hicksville, NY 11801-3528

Call (516) 931-3222 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1922983279

Kathleen Wallace's National Provider Identifier is 1922983279, issued on Aug 6, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hicksville, NY. The record was last updated on Aug 6, 2025.