Timothy Wallick

NPI 1750045464 · on the registry since 2021 · sole proprietor

Practice

Address: 212 Sunrise Dr
Clarkson, NE 68629
Phone: (402) 892-3494
Organisation at this address: Clarkson Community Care Center Inc.
Clarkson Care And Rehabilitation Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-10-28

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 Nebraska