Ellen Deanne Wallace, PT

Physical Therapist · Winchester, KY

Individual Active NPI

NPI number 1871756957

Practice location

404 Cedar Ct
Winchester, KY 40391-2923
Phone
(859) 737-5888

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NPI record

NPI
1871756957
Entity type
Individual (Type 1)
Enumeration date
July 8, 2008
Last updated
July 8, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 003834 KY

About Ellen Wallace

Ellen Deanne Wallace, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 404 Cedar Ct, Winchester, KY 40391-2923. The NPI number 1871756957 was assigned on July 8, 2008 and the record was last updated on July 8, 2008.

Ellen Wallace lists a license in the registry: #003834 (KY) 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 Ellen Deanne Wallace, PT?

The NPI number is 1871756957.

What is the phone number of Ellen Wallace?

The phone number listed for the practice location is (859) 737-5888.

Where is Ellen Wallace located?

404 Cedar Ct, Winchester, KY 40391-2923.

What is the taxonomy code for Ellen 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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