Kevin Wallace

  • 1518391135 NPI Number
  • |
  • Actived: 5 years ago
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According to our database, NPI number for Kevin Wallace is 1518391135 and actived since Friday, August 30 2013. Kevin Wallace is an individual provider specializes in Massage Therapist, primary practice location is 817 Coffee Rd Ste D, Modesto, CA 95355. You can also contact Kevin Wallace via telephone number is (209) 527-6100. Provider NPI information was last updated on 08/30/2013.

Recently Active NPIs

Overview of Kevin Wallace

  • NPI number: 1043870017
  • Provider type: Individual
  • Specialty: Massage Therapist
  • Gender: Male
  • Active since: 08/30/2013
  • Last updated: 08/30/2013

Primary Scrop of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: 48846
  • License State: CA

Provider Mailing Address

  • Address: 817 Coffee Rd Ste D
    Modesto, CA 95355
  • Phone: 209-527-6100
  • Fax:

Provider Practice Location

  • Address: 817 Coffee Rd Ste D
    Modesto, CA 95355
  • Phone: 209-527-6100
  • Fax:

Scope of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: 48846
  • License State: CA
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Kevin Wallace?
  • A: The npi number for Kevin Wallace is 1518391135.
  • Q: What are Kevin Wallace's specialties?
  • A: Kevin Wallace's specialties are Massage Therapist and different specialities.
  • Q: What is the medical license for Kevin Wallace?
  • A: The medical license number for Kevin Wallace is 48846 and issued in CA in USA.
  • Q: Where is Kevin Wallace practice location?
  • A: Kevin Wallace is practicing at 817 Coffee Rd Ste D, Modesto, CA 95355.
  • Q: How to contact Kevin Wallace?
  • A: You can contact Kevin Wallace via 209-527-6100.