Individual provider · Type 1 NPI

Jordeen Wallace

Physical Therapy Assistant · West Plains, MO

NPI number 1093856007 Active

Practice location

1100 N Kentucky Ave
West Plains, MO 65775-2029

Call (417) 257-5959 Map

Mailing address

PO Box 1100
West Plains, MO 65775-1100

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X11903 (MO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1093856007

Jordeen Wallace's National Provider Identifier is 1093856007, issued on Feb 11, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in West Plains, MO. The record was last updated on Jul 8, 2007.