Individual
KEVIN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
817 COFFEE RD STE D, MODESTO, CA 95355-4241
(209) 527-6100
Mailing address
817 COFFEE RD STE D, MODESTO, CA 95355-4241
(209) 527-6100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
48846
CA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us