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

Glenn Wallace

Individual provider Rehabilitation Practitioner · NPI 1013410778

Glenn Wallace is a Rehabilitation Practitioner in Boulder City, Nevada. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

200 Wilson Cir
Boulder City, NV 89005-4401
Phone: (702) 294-7100
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1013410778
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 8, 2018
Last updated in NPPESMarch 8, 2018
Mailing address200 Wilson Cir, Boulder City, NV 89005-4401

Other providers in Boulder City