KIMBERLY WALLACE
NPI 1609748748
Massage Therapist in Atascadero, CA

Q: What is Kimberly Wallace's NPI number?

The NPI number for Kimberly Wallace is 1609748748. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Q: What is Kimberly Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Wallace was last updated on September 18, 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.

Active since September 18, 2025

8780 OLD SANTA ROSA RD, ATASCADERO, CA 93422(805) 952-3818 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Wallace NPPES

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

KIMBERLY WALLACE (NPI 1609748748) is an individual massage therapist in Atascadero, California, licensed in California (21060) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1609748748

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameKIMBERLY WALLACE

Location Address8780 OLD SANTA ROSA RDAtascadero, CA 93422-5405

Mailing Address8780 Old Santa Rosa RdAtascadero, CA 93422-5405

Phone(805) 952-3818

Sole ProprietorYes

Enumeration DateSeptember 18, 2025

NPPES CertifiedSeptember 15, 2025

✔ NPI 1609748748 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 CA · 21060

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.

8780 OLD SANTA ROSA RD, Atascadero, CA 93422

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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 Kimberly Wallace's NPI number?

The NPI number for Kimberly Wallace is 1609748748. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Kimberly Wallace located?

Kimberly Wallace practices at 8780 Old Santa Rosa Rd, Atascadero, CA 93422. The listed phone number is (805) 952-3818.

What is Kimberly 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 Kimberly Wallace was last updated on September 18, 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.