SearchTennessee225200000X

Shannon Wallace

NPI 1437707452 · on the registry since 2019

Practice

Address
3108 Circle Dr
White Pine, TN 37890
Phone
(865) 674-7454
Organisation at this address
Peak Rehab
Champion Physical Therapy Llc Halls
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-03

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 Tennessee