Shannon Wallace
Shannon Wallace is a Physical Therapy Assistant in White Pine, Tennessee. Licensed in Tennessee. Registered with an NPI since 2019.
- Licensed in
- TN
- In the registry since
- 2019
Practice location Address checks out
3108 Circle DrWhite Pine, TN 37890-3306
Phone: (865) 674-7454
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 7143 (TN) |
|---|
Record details
| NPI number | 1437707452 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 3, 2019 |
| Last updated in NPPES | September 3, 2019 |
| Mailing address | Po Box 150, Lima, OH 45802-0150 |