Nolan Wallace

Physical Therapist · Papillion, NE

Individual Active NPI

NPI number 1043903107

Practice location

114 E 1st St Ste 105
Papillion, NE 68046-2407
Phone
(402) 933-2010

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NPI record

NPI
1043903107
Entity type
Individual (Type 1)
Enumeration date
June 2, 2023
Last updated
June 2, 2023
Certified
June 2, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 4484 NE

About Nolan Wallace

Nolan Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 114 E 1st St Ste 105, Papillion, NE 68046-2407. The NPI number 1043903107 was assigned on June 2, 2023 and the record was last updated on June 2, 2023.

Nolan Wallace lists a license in the registry: #4484 (NE) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nolan Wallace?

The NPI number is 1043903107.

What is the phone number of Nolan Wallace?

The phone number listed for the practice location is (402) 933-2010.

Where is Nolan Wallace located?

114 E 1st St Ste 105, Papillion, NE 68046-2407.

What is the taxonomy code for Nolan Wallace?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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