MR. Kenneth Mark Wallace JR. LMP

  • NPI 1346548708
According to our database, the NPI number for MR. Kenneth Mark Wallace JR. LMP is 1346548708 and activated since 13 years ago. MR. Kenneth Mark Wallace JR. LMP is an individual provider who specializes in Massage Therapist, and the primary practice location is 4004 89th Ave Se, Mercer Island, WA 98040. You can also contact MR. Kenneth Mark Wallace JR. LMP via telephone number is (206) 396-8452. Provider NPI information was last updated on 03/29/2011.

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Overview of MR. Kenneth Mark Wallace JR. LMP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/09/2011
  • Last updated: 03/29/2011

Primary Scrop of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: MA60197801
  • License State: WA

Provider Mailing Address

  • Address: 4004 89th Ave Se
    Mercer Island, WA 98040
  • Phone: 206-396-8452
  • Fax:

Provider Practice Location

  • Address: 4004 89th Ave Se
    Mercer Island, WA 98040
  • Phone: 206-396-8452
  • Fax:

Scope of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: MA60197801
  • License State: WA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Kenneth Mark Wallace JR. LMP?
  • A: The npi number for MR. Kenneth Mark Wallace JR. LMP is 1346548708.
  • Q: What are MR. Kenneth Mark Wallace JR. LMP's specialties?
  • A: MR. Kenneth Mark Wallace JR. LMP's specialties are Massage Therapist and different specialities.
  • Q: What is the medical license for MR. Kenneth Mark Wallace JR. LMP?
  • A: The medical license number for MR. Kenneth Mark Wallace JR. LMP is MA60197801 and issued in WA in USA.
  • Q: Where is MR. Kenneth Mark Wallace JR. LMP practice location?
  • A: MR. Kenneth Mark Wallace JR. LMP is practicing at 4004 89th Ave Se, Mercer Island, WA 98040.
  • Q: How to contact MR. Kenneth Mark Wallace JR. LMP?
  • A: You can contact MR. Kenneth Mark Wallace JR. LMP via 206-396-8452.
Medicare Specialty
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Family Health
Nurse Massage Therapist
Sports Medicine
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