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

Mrs. Kathryn Susan Wallace, DPT

Individual provider Physical Therapist · NPI 1639254246

Mrs. Kathryn Susan Wallace, DPT is a Physical Therapist in Oshkosh, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

112 Viola Ave
Oshkosh, WI 54901-1973
Phone: (920) 424-0170
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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 12894-24 (WI)

Record details

NPI number1639254246
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

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