Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE KIM
ActiveWALLACE KIM is a Physical Therapist Assistant healthcare provider located in COLORADO SPRINGS, Colorado. NPI 1487459079 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · COLORADO SPRINGS, CO
Registration Details
- NPI Number
- 1487459079
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 17, 2025 (1.5104831197921 yrs)
- Last Updated
- Feb 17, 2025
Practice Information
- Address
-
3275 E PLATTE AVE STE D2COLORADO SPRINGS, CO, 809096444Browse CO providers · Browse ZIP 80909
- Phone
- 7196948855
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
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.