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KATHLEEN MICHELLE WALLACE
NPI 1386441822
Massage Therapist in Southern Pines, NC

Active since March 03, 2025
150 N BENNETT ST, SOUTHERN PINES, NC 28387(910) 691-1669 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Michelle Wallace NPPES

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

KATHLEEN MICHELLE WALLACE (NPI 1386441822) is an individual massage therapist in Southern Pines, North Carolina, licensed in North Carolina (15420) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1386441822
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKATHLEEN MICHELLE WALLACE
Location Address150 N BENNETT STSouthern Pines, NC 28387-4809
Mailing Address150 N Bennett StSouthern Pines, NC 28387-4809 · (910) 691-1669
Phone(910) 691-1669
Sole ProprietorYes
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 1, 2025
✔ NPI 1386441822 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 NC · 15420
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.
150 N BENNETT ST, Southern Pines, NC 28387
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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 Kathleen Wallace's NPI number?

The NPI number for Kathleen Wallace is 1386441822. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Kathleen Wallace located?

Kathleen Wallace practices at 150 N Bennett St, Southern Pines, NC 28387. The listed phone number is (910) 691-1669.

What is Kathleen 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 Kathleen Wallace was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.