Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Michelle Wallace

Individual provider Massage Therapist · NPI 1386441822

Kathleen Michelle Wallace is a Massage Therapist in Southern Pines, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

150 N Bennett St
Southern Pines, NC 28387-4809
Phone: (910) 691-1669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 15420 (NC)

Record details

NPI number1386441822
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 1, 2025

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