Individual provider · Type 1 NPI

Kathryn Susan Wallace, D.P.T.

Physical Therapist · Oshkosh, WI

NPI number 1639254246 Active

Practice location

112 Viola Ave
Oshkosh, WI 54901-1973

Mailing address

3109 Quail Run Dr
Oshkosh, WI 54904-6597

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X12894-24 (WI)

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 1639254246

Kathryn Susan Wallace, D.P.T.'s National Provider Identifier is 1639254246, issued on Oct 25, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Oshkosh, WI. The record was last updated on May 26, 2026.