Individual provider · Type 1 NPI

Tanner Wallace

Physical Therapy Assistant · St. Joseph, MO

NPI number 1346836962 Active

Practice location

3302 N Woodbine Rd
St. Joseph, MO 64505-9323

Call (816) 281-2346 Map

Mailing address

3107 Morton Ln
St. Joseph, MO 64506-1379

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X14-03730 (KS)

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 1346836962

Tanner Wallace's National Provider Identifier is 1346836962, issued on Dec 17, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Joseph, MO. The record was last updated on Dec 17, 2020.