Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIM F WALLACE, PT
ActiveMR. JIM F WALLACE, PT is a Physical Therapy Assistant healthcare provider located in BEND, Oregon. NPI 1194928481 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BEND, OR
Registration Details
- NPI Number
- 1194928481
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2007 (19.216297124395 yrs)
- Last Updated
- Dec 29, 2016
- Licenses
-
2948 (OR)02948 (OR)
Practice Information
- Address
-
404 NE PENN AVEBEND, OR, 977014264Browse OR providers · Browse ZIP 97701
- Phone
- 5413187041
- Fax
- 5413883711
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BEND, OR
| Name | Credential | NPI |
|---|---|---|
| JENNIFER ROST | PT | 1568465508 |
| MRS. MORAG HELEN, SHAW SAMPSON | P.T. | 1356343263 |
| JONATHAN P SAMPSON | PT | 1124010160 |
| MR. DONALD JAMES CHIAPETTA | PT | 1154313187 |
| MS. JANET WARNER GOEWEY | P.T. | 1699768317 |
| KATHLEEN MARIE BRADLEY | PT | 1851373989 |
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.