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

MRS. KRISTIN NICOLE WALLACE, M.S., OTR

Active

Specialist · APPLETON, WI

Registration Details

NPI Number
1366745804
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2010 (15.393883860666 yrs)
Last Updated
Dec 6, 2010

Practice Information

Address
1506 S ONEIDA ST
APPLETON, WI, 549151305
Browse WI providers · Browse ZIP 54915
Phone
9207382000
Primary Specialty
Specialist
174400000X

Other Specialist Providers in APPLETON, WI

Name Credential NPI
DR. TIMOTHY IVAN ZUCK DDS 1265490437
DR. ARTHUR CLARENCE HELGERSON DDS 1962460253
DR. JEFFEREY L CASPERSON DDS 1982652855
DR. CHRISTOPHER BERGSTROM DDS 1417905381
MRS. CATHY M OLSON PTA 1316068091
KAYLA B SCHNEIDER LAT, ATC 1881077295
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.