Individual provider · Type 1 NPI

Michael Wallace

Physical Therapy Assistant · San Angelo, TX

NPI number 1609356864 Active

Practice location

5455 Knickerbocker Rd
San Angelo, TX 76904-7711

Call (325) 944-1600 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2027639 (TX)

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 1609356864

Michael Wallace's National Provider Identifier is 1609356864, issued on Aug 17, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Angelo, TX. The record was last updated on Aug 17, 2018.