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

Gayle Ann Wallace, PTA

Individual provider Physical Therapy Assistant · NPI 1164153409

Gayle Ann Wallace, PTA is a Physical Therapy Assistant in Sterling Heights, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

40778 Rainier Dr
Sterling Heights, MI 48313-5367
Phone: (586) 819-6887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502001041 (MI)

Record details

NPI number1164153409
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 17, 2022
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022

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