Kelsey Wallace, LMT
NPI 1063870418 · Massage Therapist · Detroit, MI
Kelsey Wallace, LMT is a Massage Therapist provider in Detroit, MI (NPI 1063870418).
Provider details
- NPI number
- 1063870418
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7501007544 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-02-01
- Last updated
- 2025-03-02
- Certified
- 2025-03-02
Frequently asked questions
- What is Kelsey Wallace's NPI number?
- Kelsey Wallace's National Provider Identifier (NPI) is 1063870418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelsey Wallace's specialty?
- Kelsey Wallace is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelsey Wallace located?
- Kelsey Wallace's practice location on file with NPPES is 16500 Joy Rd # 258, Detroit, MI 48228-0632.
- What is Kelsey Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kelsey Wallace is (248) 417-5352.
- Is Kelsey Wallace's NPI active?
- Yes — Kelsey Wallace's NPI (1063870418) is active in the NPPES registry as of the last update on 2025-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.