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

Mr. Kenneth Mark Wallace Jr., LMP

Individual provider Massage Therapist · NPI 1346548708

Mr. Kenneth Mark Wallace Jr., LMP is a Massage Therapist in Mercer Island, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2011
What do these letters mean?
LMP — Licensed Massage Practitioner
A state-licensed massage practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

4004 89th Ave SE
Mercer Island, WA 98040-4102
Phone: (206) 396-8452
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA60197801 (WA)

Record details

NPI number1346548708
Entity typeIndividual (Type 1)
GenderMale
Credentials LMP
Sole proprietorYes
NPI enumeratedMarch 9, 2011
Last updated in NPPESMarch 29, 2011
Mailing address4004 89th Ave Se, Mercer Island, WA 98040-4102

Other providers in Mercer Island