SHANNON WALLACE
NPI 1437707452
Physical Therapy Assistant in White Pine, TN
About Shannon Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON WALLACE (NPI 1437707452) is an individual physical therapy assistant in White Pine, Tennessee, licensed in Tennessee (7143) and active in the NPI registry since September 2019.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITE PINE, TN 37890
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 Shannon Wallace's NPI number?
The NPI number for Shannon Wallace is 1437707452. It was assigned to this individual provider in the NPPES registry on September 3, 2019.
Where is Shannon Wallace located?
Shannon Wallace practices at 3108 Circle Dr, White Pine, TN 37890. The listed phone number is (865) 674-7454.
What is Shannon 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 Shannon Wallace was last updated on September 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.