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Kenyan Wallace, LMT
Massage Therapist in Santa Fe, New Mexico
NPI 1528772258

Kenyan Wallace is a Massage Therapist based in Santa Fe, NM. Kenyan Wallace practices in Santa Fe, NM and has the professional credentials of LMT. The NPI Number for Kenyan Wallace is 1528772258 and holds a License No. MT9637 (New Mexico).

The current practice location address for Kenyan Wallace is 1640 Old Pecos Trl Ste E, Santa Fe, NM and can be reached out via phone at 561-843-4380. You can also correspond with Kenyan Wallace through the mailing address at 2934 CALLE DEL RES, SANTA FE, NM - 87505-6716 (mailing address contact number: 561-843-4380).

Location: 1640 Old Pecos Trl Ste E, Santa Fe, NM, 87505-6716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528772258
Provider Name
Kenyan Wallace
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1640 Old Pecos Trl Ste E, Santa Fe, NM, 87505-6716
Phone Number
561-843-4380
Fax Number
Provider Enumeration Date
01/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1640 Old Pecos Trl Ste E
City
Santa Fe
State
New Mexico
Zip
87505-4777
Phone Number
561-843-4380
Fax Number
person
Provider Business Mailing Address Details
Address
1640 Old Pecos Trl Ste E
City
Santa Fe
State
New Mexico
Zip
87505-4777
Phone Number
561-843-4380
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT9637 (New Mexico)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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