GARY ROBERT WALLACE PTA
NPI 1003009184
Physical Therapy Assistant in Jackson, MS
About Gary Robert Wallace Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY ROBERT WALLACE PTA (NPI 1003009184) is an individual physical therapy assistant in Jackson, Mississippi, licensed in Louisiana (A2636) and active in the NPI registry since August 2007.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39211
JACKSON, MS 39211
JACKSON, ME 39211
JACKSON, MS 39211
JACKSON, MS 39211
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gary Wallace's NPI number?
The NPI number for Gary Wallace is 1003009184. It was assigned to this individual provider in the NPPES registry on August 22, 2007.
Where is Gary Wallace located?
Gary Wallace practices at 13 Northtown Dr Trinity Rehab Suite 110, Jackson, MS 39211. The listed phone number is (601) 206-9195.
What is Gary Wallace's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Gary Wallace was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.