Lisa N. Wallace, LPTA
Physical Therapy Assistant · Lagrange, GA
Practice location
1514 Vernon RdLagrange, GA 30240-4131
- Phone
- (706) 845-3192
- Fax
- (706) 845-3700
NPI record
- NPI
- 1801099767
- Entity type
- Individual (Type 1)
- Enumeration date
- June 7, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
PTA000264 | GA |
Mailing address
536 Pine AveRoanoke, AL 36274-1446
- Phone
- (334) 863-6844
- Fax
- (706) 845-3700
About Lisa Wallace
Lisa N. Wallace, LPTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1514 Vernon Rd, Lagrange, GA 30240-4131. The NPI number 1801099767 was assigned on June 7, 2007 and the record was last updated on July 8, 2007.
Lisa Wallace lists a license in the registry: #PTA000264 (GA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Lisa N. Wallace, LPTA?
The NPI number is 1801099767.
What is the phone number of Lisa Wallace?
The phone number listed for the practice location is (706) 845-3192.
Where is Lisa Wallace located?
1514 Vernon Rd, Lagrange, GA 30240-4131.
What is the taxonomy code for Lisa Wallace?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
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.
Other Physical Therapy Assistant providers in Lagrange
- Clifford Daniel Thomas Swann1805 Vernon Rd