Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAWN G WALLACE, PT, DPT
ActiveDR. SHAWN G WALLACE, PT, DPT is a Physical Therapy Assistant healthcare provider located in YUKON, Oklahoma. NPI 1457323396 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · YUKON, OK
Registration Details
- NPI Number
- 1457323396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2006 (20.336993112837 yrs)
- Last Updated
- Jan 21, 2026
- License
-
PT1769 (OK)
Practice Information
- Address
-
1805 COMMONS CIR STE 100BYUKON, OK, 730999519Browse OK providers · Browse ZIP 73099
- Phone
- 4054674086
- Fax
- 4054674387
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in YUKON, OK
| Name | Credential | NPI |
|---|---|---|
| MR. MARK WESLEY PALMER | PT | 1275512402 |
| EDELYN O CONRAD | P.T. | 1619088259 |
| MRS. MELODY DUTY | P.T. | 1609973411 |
| COLLEEN STURIALE | PT | 1710053129 |
| NICK ZANE YOUNG | PT | 1538387006 |
| MR. CHRIS W EASTON | PT | 1780899344 |
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.