Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER WALLACE
Active Sole ProprietorTANNER WALLACE is a Occupational Therapist healthcare provider located in SAINT JOSEPH, Missouri. NPI 1346836962 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SAINT JOSEPH, MO
Registration Details
- NPI Number
- 1346836962
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2020 (5.4760700023596 yrs)
- Last Updated
- Dec 17, 2020
- License
-
14-03730 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3302 N WOODBINE RDSAINT JOSEPH, MO, 645059323Browse MO providers · Browse ZIP 64505
- Phone
- 8162812346
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in SAINT JOSEPH, MO
| Name | Credential | NPI |
|---|---|---|
| AMY HALLQUIST | — | 1801906706 |
| DIXIE LEAH MATTTHEWS | — | 1003030990 |
| MS. KAREN ROSE MCCLANAHAN | PTA | 1093934523 |
| DARLA DENISE ENZBRENNER | PTA | 1275752842 |
| MRS. TONYA MICHELLE COLWELL | P.T.A. | 1114149960 |
| MS. MANDY JEAN FORRET | PTA | 1760604748 |
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.