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

Kelly Wallace, RPT

Individual provider Physical Therapist · NPI 1184696023

Kelly Wallace, RPT is a Physical Therapist in Choctaw, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13390 NE 23rd St
Choctaw, OK 73020-8622
Phone: (405) 769-5555
Fax: (405) 769-5558
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT2460 (OK)

Record details

NPI number1184696023
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPT
Sole proprietorNo
NPI enumeratedFebruary 5, 2006
Last updated in NPPESApril 27, 2015

Other providers in Choctaw