Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIE CLAIRE WALLACE, PT, DPT
ActiveELLIE CLAIRE WALLACE, PT, DPT is a Physical Therapy Assistant healthcare provider located in MESA, Arizona. NPI 1962096891 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MESA, AZ
Registration Details
- NPI Number
- 1962096891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2021 (5.4759285477465 yrs)
- Last Updated
- Oct 24, 2024
- Licenses
-
11-06685 (KS)106104 (IA)CP034759T (AZ)
Practice Information
- Address
-
10165 E HAMPTON AVE STE 11MESA, AZ, 852093327Browse AZ providers · Browse ZIP 85209
- Phone
- 4803545424
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE ALBERT BATES | P.T. | 1871597328 |
| MS. LAURIE L SHEPARD | PT, OCS | 1033116397 |
| MS. JULIE Z. BRAUNING | PT | 1497753420 |
| MR. NOAH B ARENSON | MPT | 1659370617 |
| MR. DAVID A WASSERBECK | PT | 1356340228 |
| ROBERT LYNN WHIPPLE | PT | 1972503951 |
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.