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Search › North Carolina › 225100000X

Misty Wallace, PT

NPI 1174761951 · on the registry since 2009 · sole proprietor

Practice

Address
903 W Main St
Yadkinville, NC 27055
Phone
(336) 679-8863
Organisation at this address
Legacy
Liberty Healthcare Group, Llc
Liberty Healthcare Group, Llc
Yadkin Nursing Care Center, Inc.
Yadkin Nursing Care Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina