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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NOLAN WALLACE

Active

NOLAN WALLACE is a Physical Therapy Assistant healthcare provider located in PAPILLION, Nebraska. NPI 1043903107 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PAPILLION, NE

Registration Details

NPI Number
1043903107
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2023 (3.2017228378189 yrs)
Last Updated
Jun 2, 2023
License
4484 (NE)

Practice Information

Address
114 E 1ST ST STE 105
PAPILLION, NE, 680462407
Browse NE providers · Browse ZIP 68046
Phone
4029332010
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PAPILLION, NE

Name Credential NPI
MICHAEL D BARTELS PT 1205832508
BETH G. BARTELS PT 1700883766
GINA MARIE VANDERHEIDEN DPT 1922081389
ANGELO TABLANTE 1902863913
MRS. ERIKA A KIECKHAFER MPT 1639288178
NICOLE J. WEINHOLD P.T. 1467526491
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.