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Search › Missouri › 225200000X

Nicole Wallace, PTA

NPI 1619884186 · on the registry since 2026 · sole proprietor

Practice

Address
1531 E Bradford Pkwy Ste 210-4
Springfield, MO 65804
Phone
(417) 881-9500
Organisation at this address
N Eugene Morrow Md Llc
Sleep Better Missouri Llc
Joy For Your Journey, Llc
Missouri Eye Institute Llc
Reynolds Plastic Surgery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-27

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