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

Mrs. Lisa N. Wallace, LPTA

Individual provider Physical Therapy Assistant · NPI 1801099767

Mrs. Lisa N. Wallace, LPTA is a Physical Therapy Assistant in Lagrange, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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Practice location Address checks out

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone: (706) 845-3192
Fax: (706) 845-3700
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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 PTA000264 (GA)

Record details

NPI number1801099767
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedJune 7, 2007
Last updated in NPPESJuly 8, 2007

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