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

Lataunya B Wallace, PT

Individual provider Physical Therapist · NPI 1891010435

Lataunya B Wallace, PT is a Physical Therapist in Clinton, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

102 Woodchase Park Dr
Clinton, MS 39056-4113
Phone: (601) 924-7043
Fax: (601) 924-8633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1460 (MS)

Record details

NPI number1891010435
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 6, 2010
Last updated in NPPESApril 6, 2010
Mailing address359 Brookwood Lake Pl, Jackson, MS 39272-5648

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