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

Dr. Alisha Wallace, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780386961

Dr. Alisha Wallace, DPM is a Student in an Organized Health Care Education/Training Program in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

4100 W 3rd St
Dayton, OH 45428-9000
Phone: (937) 268-6511
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OH)

Record details

NPI number1780386961
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address4100 W 3rd St, Dayton, OH 45428-9000

Other providers in Dayton