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

SHAWNLY ELISE WALLACE, PT

Active

SHAWNLY ELISE WALLACE, PT is a Physical Therapy Assistant healthcare provider located in TACOMA, Washington. NPI 1619187788 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · TACOMA, WA

Registration Details

NPI Number
1619187788
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2007 (19.22255279502 yrs)
Last Updated
Jul 8, 2007
License
PT00005001 (WA)

Practice Information

Address
4020 S 56TH ST STE 101
TACOMA, WA, 984092626
Browse WA providers · Browse ZIP 98409
Phone
2534756862
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in TACOMA, WA

Name Credential NPI
JULIE M GARNER DPT 1073506978
LISA M RALSTON MPT 1427044049
DOUGLAS PAUL RIBECA P.T. 1215926464
MR. DAVID E CULLINANE P.T. O.C.S. 1700867041
MRS. SUSAN MIYE KAEKA P.T. 1144201484
MISS JAMIE K SATO D.P.T. 1831171149
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.