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

Rebecca Leasie Wallace, PTA

Individual provider Physical Therapy Assistant · NPI 1235701558

Rebecca Leasie Wallace, PTA is a Physical Therapy Assistant in Blountville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

2830 TN-394
Blountville, TN 37617
Phone: (423) 274-6191
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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 04200 (TN)

Record details

NPI number1235701558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 15, 2021
Last updated in NPPESJuly 15, 2021
Certification dateJune 19, 2021

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