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

Nolan Wallace

Individual provider Physical Therapist · NPI 1043903107

Nolan Wallace is a Physical Therapist in Papillion, Nebraska. Licensed in Nebraska. Registered with an NPI since 2023.

Licensed in
NE
In the registry since
2023

Practice location Address checks out

114 E 1st St Ste 105
Papillion, NE 68046-2407
Phone: (402) 933-2010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4484 (NE)

Record details

NPI number1043903107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023
Mailing address114 E 1st St Ste 105, Papillion, NE 68046-2407

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