Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David R Wallace, PT

Individual provider Physical Therapist · NPI 1760626576

David R Wallace, PT is a Physical Therapist in Oxford, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2170 S Lamar Blvd
Oxford, MS 38655-5224
Phone: (662) 234-8559
Fax: (662) 234-7923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT2738 (MS)

Record details

NPI number1760626576
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 23, 2009
Last updated in NPPESApril 23, 2009
Mailing address2170 S. Lamar Blvd, Oxford, MS 38655

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