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

Kenyan Wallace, LMT

Individual provider Massage Therapist · NPI 1528772258

Kenyan Wallace, LMT is a Massage Therapist in Santa Fe, New Mexico. Licensed in New Mexico. Registered with an NPI since 2023.

Licensed in
NM
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1640 Old Pecos Trl Ste E
Santa Fe, NM 87505-4777
Phone: (561) 843-4380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT9637 (NM)

Record details

NPI number1528772258
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedJanuary 9, 2023
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 7, 2023
Mailing address2934 Calle Del Res, Santa Fe, NM 87505-6716

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