Michael L Wallace in Alamogordo - Physical Therapist

Michael L Wallace - NPI 1578556312

Michael L Wallace is a Physical Therapist in Alamogordo, New Mexico. Michael L Wallace practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Michael L Wallace is 1578556312. The last update date is 2011-06-21.

Michael L Wallace's current location address is Po Box 2860, Alamogordo, New Mexico. You can contact this provider via phone number 5754391397 and fax number 5754372622. The mailing address for Michael L Wallace is Po Box 2860, Alamogordo, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael L Wallace
Address Po Box 2860, Alamogordo, New Mexico
Phone Number 5754391397
Fax Number 5754372622
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1578556312
Provider Enumeration Date 2005-08-26
Last Updated Date 2011-06-21

Provider Mailing Address Detail

Address Po Box 2860
City Alamogordo
State New Mexico (NM)
Post Code 883112860
Phone Number 5754391397
Fax Number 5754372622

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 1953
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NM00Q164 NM BLUE CROSS BLUE SHIELD
65579844 NM --

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FAQs about Michael L Wallace

What is the unique identifier code issued to Michael L Wallace by the Centers for Medicare & Medicaid Services?

The Michael L Wallace has been assigned the NPI (National Provider Identifier) 1578556312. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Michael L Wallace?

The Michael L Wallace is situated at Po Box 2860, in the city of Alamogordo, state of NM, with the zip code 883112860.

What is Michael L Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael L Wallace is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.

When did the Michael L Wallace receive its 1578556312?

The Michael L Wallace was issued its 1578556312 on 2005-08-26, which is the date when the organization was assigned this unique identifier.

When was the information related to Michael L Wallace most recently updated or refreshed?

The details pertaining to the Michael L Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-06-21.

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