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

Kathleen Wallace

Individual provider Massage Therapist · NPI 1922983279

Kathleen Wallace is a Massage Therapist in Hicksville, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

608 S Oyster Bay Rd
Hicksville, NY 11801-3528
Phone: (516) 931-3222
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1922983279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address608 S Oyster Bay Rd, Hicksville, NY 11801-3528

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