Individual provider · Type 1 NPI

Michael Wallace, DPT

Physical Therapist · Loganville, GA

NPI number 1881368561 Active

Practice location

3440 Highway 81
Loganville, GA 30052-9112

Fax (706) 546-8792

Mailing address

1017 Crystal Brook Way
Monroe, GA 30655-7313

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT015458 (GA)

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 1881368561

Michael Wallace, DPT's National Provider Identifier is 1881368561, issued on Aug 5, 2021. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Loganville, GA. The record was last updated on Mar 11, 2024.