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

Mrs. Kendra Wallace, PT

Individual provider Physical Therapist · NPI 1912942954

Mrs. Kendra Wallace, PT is a Physical Therapist in Cartersville, Georgia. Licensed in Georgia and Tennessee. Registered with an NPI since 2006.

Licensed in
GA, TN
In the registry since
2006
Specialties on file
2
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

695 Henderson Dr
Cartersville, GA 30120-3738
Phone: (770) 386-6300
Fax: (770) 382-0791
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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 10677 (TN)
Physical Therapist Taxonomy 225100000X · Licence PT008410 (GA)

Record details

NPI number1912942954
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

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