| Kimberly Wallace, | |
|
8780 Old Santa Rosa Rd, Atascadero, CA 93422-5405 | |
| (805) 952-3818 | |
| Not Available |
| Full Name | Kimberly Wallace |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 8780 Old Santa Rosa Rd, Atascadero, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609748748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 21060 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Wallace, 8780 Old Santa Rosa Rd, Atascadero, CA 93422-5405 Ph: Not Available | Kimberly Wallace, 8780 Old Santa Rosa Rd, Atascadero, CA 93422-5405 Ph: (805) 952-3818 |
Moon Leaf Derosier, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5960b West Mall, Atascadero, CA 93422 Phone: 415-706-6397 |
Mrs. Niki Marie Torres, CMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 Traffic Way, Atascadero, CA 93422 Phone: 805-610-6412 |
Jaclyn Joyner, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6717 Morro Rd, Atascadero, CA 93422 Phone: 714-855-0511 |
Dori Dueck, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5960 West Mall # B, Atascadero, CA 93422 Phone: 805-714-9620 |
Katrina Marie Porter, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 Traffic Way, Atascadero, CA 93422 Phone: 805-287-0006 |