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

Kimberly Wallace

Individual provider Massage Therapist · NPI 1609748748

Kimberly Wallace is a Massage Therapist in Atascadero, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

8780 Old Santa Rosa Rd
Atascadero, CA 93422-5405
Phone: (805) 952-3818
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 21060 (CA)

Record details

NPI number1609748748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 15, 2025
Mailing address8780 Old Santa Rosa Rd, Atascadero, CA 93422-5405

Other providers in Atascadero