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Kenneth Wallace, LMP
NPI 1346548708 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4004 89th Ave Se
Mercer Island, WA 98040 - Phone
- (206) 396-8452
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington