Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY WALLACE, RPT
ActiveKELLY WALLACE, RPT is a Physical Therapy Assistant healthcare provider located in CHOCTAW, Oklahoma. NPI 1184696023 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHOCTAW, OK
Registration Details
- NPI Number
- 1184696023
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2006 (20.335508066538 yrs)
- Last Updated
- Apr 27, 2015
- License
-
PT2460 (OK)
Practice Information
- Address
-
13390 NE 23RD STCHOCTAW, OK, 730208622Browse OK providers · Browse ZIP 73020
- Phone
- 4057695555
- Fax
- 4057695558
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CHOCTAW, OK
| Name | Credential | NPI |
|---|---|---|
| JEFFREY MICHAEL HOGAN | PT, MPT | 1053395319 |
| MR. ANDREW E HEUSER | PT | 1578653358 |
| MRS. KELLY RENAE CURRY | P.T. | 1851594287 |
| JONATHAN C ONG | DPT | 1356622914 |
| CATHY LYNAN TROUT | PT | 1013299379 |
| LACEY R FAIRBROTHER | PT, DPT | 1538442769 |
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.