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

Mrs. Misty W Wallace, PT

Individual provider Physical Therapist · NPI 1174761951

Mrs. Misty W Wallace, PT is a Physical Therapist in Yadkinville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
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

903 W Main St
Yadkinville, NC 27055-7807
Phone: (336) 679-8863
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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 11970 (NC)

Record details

NPI number1174761951
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 2, 2009
Last updated in NPPESFebruary 2, 2009

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