NPI 1639988959
Bethany Kate Wallace, LMT
Practice location
- Address
- 35 N Main St, Southington, CT 06489-2577
- Phone
- (860) 378-9659
- Mailing address
- 50 Lagana Ave, Plantsville, CT 06479
Registered specialties
Doula
Primary
Registry record
- NPI
- 1639988959
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jan 2025
- Record last updated
- 1 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.