Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNAN WALLACE, PT, DPT
ActiveCONNAN WALLACE, PT, DPT is a Physical Therapy Assistant healthcare provider located in VINEYARD, Utah. NPI 1548019730 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · VINEYARD, UT
Registration Details
- NPI Number
- 1548019730
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2024 (2.0570114424435 yrs)
- Last Updated
- May 18, 2024
Practice Information
- Address
-
691 E 400 N STE 210VINEYARD, UT, 840597510Browse UT providers · Browse ZIP 84059
- Phone
- 8017664244
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in VINEYARD, UT
| Name | Credential | NPI |
|---|---|---|
| DR. TRAVIS RUSSELL PETERSON | — | 1962859074 |
| LANDAN D MORGAN | PT | 1043710452 |
| MR. MARCO ZANIN | PT | 1538770995 |
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.