Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GUY ROBERT WALLACE, P.T.
ActiveMR. GUY ROBERT WALLACE, P.T. is a Physical Therapy Assistant healthcare provider located in ELIZABETHTOWN, Kentucky. NPI 1477605772 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ELIZABETHTOWN, KY
Registration Details
- NPI Number
- 1477605772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2007 (19.533957449909 yrs)
- Last Updated
- Jun 2, 2008
- License
-
002884 (KY)
Practice Information
- Address
-
1222 WOODLAND DRELIZABETHTOWN, KY, 427012710Browse KY providers · Browse ZIP 42701
- Phone
- 2702341569
- Fax
- 2702340680
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ELIZABETHTOWN, KY
| Name | Credential | NPI |
|---|---|---|
| MR. SHAYNE KIRK FERGUSON | PT | 1265587638 |
| KELLY M CROGHAN | PT | 1992822571 |
| MS. DOREEN LEE | L.P.T. | 1770604894 |
| TRACI MICHELLE QUINN | P.T. | 1285832105 |
| SHERRY H MALITO | PHYSICAL THERAPIST | 1376733733 |
| JUSTIN THOMAS TRAVIS | DPT | 1760644983 |
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.