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

ELLEN DEANNE WALLACE, PT

Active Sole Proprietor

ELLEN DEANNE WALLACE, PT is a Physical Therapy Assistant healthcare provider located in WINCHESTER, Kentucky. NPI 1871756957 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WINCHESTER, KY

Registration Details

NPI Number
1871756957
Provider Type
Individual
Gender
Female
NPI Issued
Jul 8, 2008 (17.956373641689 yrs)
Last Updated
Jul 8, 2008
License
003834 (KY)
Sole Proprietor
Yes

Practice Information

Address
404 CEDAR CT
WINCHESTER, KY, 403912923
Browse KY providers · Browse ZIP 40391
Phone
8597375888
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WINCHESTER, KY

Name Credential NPI
MR. JEREMY SEAN KRUGER MSPT 1326045360
CARLENE TINKLER PT 1982659835
DR. ESTELLE ATHALENE SAYLOR-PAVKOVICH PT, DPT 1699720839
HEATHER ALLISON GOUMAS PT 1528091535
DEBORAH LOUISE WIDELO PT, MS, PCS 1821174806
DANIELLE RENEE MAINS PT 1376745505
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.