Individual provider · Type 1 NPI

Kody Wallace

Physical Therapist · Mineral Wells, TX

NPI number 1912061607 Active

Practice location

400 SW 25th Ave
Mineral Wells, TX 76067-8246

Fax (940) 328-6550

Mailing address

705 N Murco Dr
Mineral Wells, TX 76067-9008

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X1141471 (TX)

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 1912061607

Kody Wallace's National Provider Identifier is 1912061607, issued on Dec 20, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Mineral Wells, TX. The record was last updated on Jul 8, 2007.