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

Mrs. Carolyn Ann Wallace, PTA

Individual provider Physical Therapy Assistant · NPI 1518788728

Mrs. Carolyn Ann Wallace, PTA is a Physical Therapy Assistant in Springdale, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2070 McKenzie Rd Ste C
Springdale, AR 72762-0870
Phone: (479) 750-7778
Fax: (479) 750-7708
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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 4984 (AR)

Record details

NPI number1518788728
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 21, 2024
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

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