Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATAUNYA B WALLACE, P.T.
Active Sole ProprietorPhysical Therapy Assistant · CLINTON, MS
Registration Details
- NPI Number
- 1891010435
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2010 (16.04279846753 yrs)
- Last Updated
- Apr 6, 2010
- License
-
PT1460 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 WOODCHASE PARK DRCLINTON, MS, 390564113Browse MS providers · Browse ZIP 39056
- Phone
- 6019247043
- Fax
- 6019248633
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CLINTON, MS
| Name | Credential | NPI |
|---|---|---|
| KERRI P DIXON | PT | 1588612535 |
| MRS. JENIFER M. LASSETTER | PT | 1396849956 |
| MR. TROY O'NEIL WALTERS | D.P.T. | 1710069828 |
| REBECCA A WRIGHT | PT | 1821128075 |
| JAMES JUSTIN GARNER | PT,MPT | 1770609638 |
| JOANNA MICHELLE ALBRITTON | PT | 1548466360 |
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.