Phimnara L Wallace, LMT

NPI #1346116589 in Kemah, Texas

Provider Information

NPI Number: 1346116589
Entity Type: Individual
Name: Phimnara L Wallace, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 15, 2025
Last Updated: Oct 15, 2025

Practice Location

Address: 409A BRADFORD AVE
City: Kemah
State: Texas
ZIP Code: 77565-2371
Phone: (832) 429-5556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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