Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARRETT WALLACE
Active Sole ProprietorGARRETT WALLACE is a Physical Therapy Assistant healthcare provider located in SUMMIT, Mississippi. NPI 1306339262 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SUMMIT, MS
Registration Details
- NPI Number
- 1306339262
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2018 (8.1572471342652 yrs)
- Last Updated
- Jun 14, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
4109 HIGHWAY 98 WSUMMIT, MS, 396669132Browse MS providers · Browse ZIP 39666
- Phone
- 6012763909
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SUMMIT, MS
| Name | Credential | NPI |
|---|---|---|
| JONALYN CLARK | — | 1245554476 |
| TYREA DULANEY | — | 1053637041 |
| MATTELYN C. CHATHAM | — | 1467770958 |
| ABBY WITCHER | — | 1417240094 |
| KRISTIN MCCANN-WARD | — | 1609162346 |
| KAYLA ANN SPRADLEY | — | 1942580337 |
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.