Individual provider · Type 1 NPI

Nikole Elizabeth Wallace

Rehabilitation Practitioner · Sparks, NV

NPI number 1912477464 Active

Practice location

2261 Pyramid Way Ste 5
Sparks, NV 89431-2160

Fax (775) 322-3137

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1912477464

Nikole Elizabeth Wallace's National Provider Identifier is 1912477464, issued on Nov 27, 2018. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Sparks, NV. The record was last updated on Nov 27, 2018.