Individual provider · Type 1 NPI

Jim F. Wallace, PT

Physical Therapist · Bend, OR

NPI number 1194928481 Active

Practice location

404 NE Penn Ave
Bend, OR 97701-4264

Fax (541) 388-3711

Mailing address

16693 Gray Wolf Ln
Bend, OR 97707-2548

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist 2251X0800X2948 (OR)
Physical Therapist Primary 225100000X02948 (OR)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1194928481

Jim F. Wallace, PT's National Provider Identifier is 1194928481, issued on Jun 6, 2007. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Bend, OR. The record was last updated on Dec 29, 2016.