Thomas A. Wallis PT

NPI 1952418873 - Physical Therapist - 225100000X

NPI Details
NPI 1952418873
Gender Male
Enumeration Date 08/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
711 W 9TH ST N
LADYSMITH WI, 54848-1252, US
Phone (715) 532-3439
Fax (715) 532-0120
Business Location
DE PERE WI, 54115-9552, US
Phone (920) 965-0884
Fax (920) 965-0793
Taxonomy Code 225100000X
License State Wisconsin
License Number 1875-024
Remove 1952418873 NPI Number

According to our database, Thomas A. Wallis PT NPI is 1952418873, taxonomy code is 225100000X and license number is 1875-024, license state is located at Wisconsin. Thomas A. Wallis PT physically located at 711 W 9th St N, Ladysmith WI, 54848-1252. NPI Number Thomas A. Wallis PT has the Individual type.

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1952418873 NPI number is provided on an as is basis without warranty of any kind. 1952418873 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas A. Wallis PT are for informational purposes only.