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Search › Missouri › Physical Therapy Assistant

Tanner Wallace

NPI 1346836962 · on the registry since 2020 · sole proprietor

Practice

Address
3302 N Woodbine Rd
Saint Joseph, MO 64505
Phone
(816) 281-2346
Organisation at this address
Aegis Group Practice Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-17

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 Missouri