Kimberly Wallace
NPI #1609748748 in Atascadero, California
Provider Information
- NPI Number
- 1609748748
- Entity Type
- Individual
- Name
- Kimberly Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Sep 18, 2025
- Last Updated
- Sep 18, 2025
Practice Location
- Address
- 8780 OLD SANTA ROSA RD
- City
- Atascadero
- State
- California
- ZIP Code
- 93422-5405
- Phone
- (805) 952-3818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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