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PHIMNARA L WALLACE LMT
NPI 1346116589
Massage Therapist in Kemah, TX

Active since October 15, 2025
409A BRADFORD AVE, KEMAH, TX 77565(832) 429-5556 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phimnara L Wallace Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHIMNARA L WALLACE LMT (NPI 1346116589) is an individual massage therapist in Kemah, Texas, licensed in Texas (MT139073) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1346116589
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NamePHIMNARA L WALLACECredential: LMT
Location Address409A BRADFORD AVEKemah, TX 77565-2371
Mailing Address409a Bradford AveKemah, TX 77565-2371 · (832) 429-5556
Phone(832) 429-5556
Sole ProprietorYes
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1346116589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in TX · MT139073
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.
409A BRADFORD AVE, Kemah, TX 77565
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phimnara Wallace's NPI number?

The NPI number for Phimnara Wallace is 1346116589. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Where is Phimnara Wallace located?

Phimnara Wallace practices at 409A Bradford Ave, Kemah, TX 77565. The listed phone number is (832) 429-5556.

What is Phimnara Wallace's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Phimnara Wallace was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.