Kendra Wallace in Cartersville - Physical Therapist
Kendra Wallace - NPI 1912942954
Kendra Wallace is a Physical Therapist in Cartersville, Georgia. Kendra Wallace practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kendra Wallace is 1912942954. The last update date is 2011-11-03.
Kendra Wallace's current location address is 695 Henderson Drive, Cartersville, Georgia. You can contact this provider via phone number 7703866300 and fax number 7703820791. The mailing address for Kendra Wallace is 695 Henderson Drive, Cartersville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kendra Wallace |
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Address | 695 Henderson Drive, Cartersville, Georgia |
Phone Number | 7703866300 |
Fax Number | 7703820791 |
Sole Proprietor | N |
Credentials | P.T. |
NPI Number Detail
NPI Number | 1912942954 |
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Provider Enumeration Date | 2006-06-16 |
Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
Address | 695 Henderson Drive |
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City | Cartersville |
State | Georgia (GA) |
Post Code | 301208080 |
Phone Number | 7703866300 |
Fax Number | 7703820791 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | PT008410 |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique identifier code issued to Kendra Wallace by the Centers for Medicare & Medicaid Services (CMS)?
The Kendra Wallace has been assigned the NPI (National Provider Identifier) 1912942954. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kendra Wallace?
The Kendra Wallace is situated at 695 Henderson Drive, in the city of Cartersville, state of GA, with the zip code 301208080.
What is Kendra Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kendra Wallace's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
When was the Kendra Wallace's 1912942954 issued?
The Kendra Wallace's 1912942954 was issued on 2006-06-16.
As of what date were the Kendra Wallace's details last updated?
The information pertaining to the Kendra Wallace, including its address, specialty, and other details, was most recently updated on 2011-11-03.