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

Dr. Eric T Wallace, DPT

Individual provider Orthopedic Physical Therapist · NPI 1417183476

Dr. Eric T Wallace, DPT is an Orthopedic Physical Therapist in Appleton, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

W5361 County Road Kk Ste E
Appleton, WI 54915-7271
Phone: (920) 540-2344
Fax: (920) 779-1460
Show map & directions

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

Additional practice locations (1)

  • 2763 S Oneida St Ste 102, Green Bay, WI 54304-5122 — (920) 540-2344

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11251 (WI)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 11251-24 (WI)

Record details

NPI number1417183476
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 4, 2009
Last updated in NPPESJuly 21, 2022
Mailing addressW5361 County Road Kk Ste E, Appleton, WI 54915-7271

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