| Kenyan Wallace, LMT | |
|
1640 Old Pecos Trl Ste E, Santa Fe, NM 87505-4777 | |
| (561) 843-4380 | |
| Not Available |
| Full Name | Kenyan Wallace |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1640 Old Pecos Trl Ste E, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528772258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT9637 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenyan Wallace, LMT 2934 Calle Del Res, Santa Fe, NM 87505-6716 Ph: (561) 843-4380 | Kenyan Wallace, LMT 1640 Old Pecos Trl Ste E, Santa Fe, NM 87505-4777 Ph: (561) 843-4380 |
Ms. Darcy A Nicholson, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2074 Galisteo St, Suite A5, Santa Fe, NM 87505 Phone: 505-310-3024 | |
Laura Jolly, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1963 Kiva Rd, Santa Fe, NM 87505 Phone: 505-983-6733 | |
Dana Garza, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1532 Cerrillos Rd Ste C, Santa Fe, NM 87505 Phone: 505-998-6910 | |
Jennifer Fowler, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4363 Village Loop, Santa Fe, NM 87507 Phone: 505-660-9110 | |
Elizandro Martinez, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 422 Medico Ln, Santa Fe, NM 87505 Phone: 505-986-9109 | |
Ms. Michelle Pascale, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2074 Galisteo St, Suite B-1, Santa Fe, NM 87505 Phone: 505-690-9835 | |
Averie Montgomery-diener, PTA, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 Phone: 505-424-1239 |