Kevin Wallace
NPI 1518391135 · Massage Therapist · Modesto, CA
Kevin Wallace is a Massage Therapist provider in Modesto, CA (NPI 1518391135).
Provider details
- NPI number
- 1518391135
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 48846 (CA)
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
12 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
- 2013-08-30
- Last updated
- 2013-08-30
Frequently asked questions
- What is Kevin Wallace's NPI number?
- Kevin Wallace's National Provider Identifier (NPI) is 1518391135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Wallace's specialty?
- Kevin Wallace is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kevin Wallace located?
- Kevin Wallace's practice location on file with NPPES is 817 Coffee Rd Ste D, Modesto, CA 95355-4241.
- What is Kevin Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kevin Wallace is (209) 527-6100.
- Is Kevin Wallace's NPI active?
- Yes — Kevin Wallace's NPI (1518391135) is active in the NPPES registry as of the last update on 2013-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.