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

Tanner Wallace

Individual provider Physical Therapy Assistant · NPI 1346836962

Tanner Wallace is a Physical Therapy Assistant in Saint Joseph, Missouri. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3302 N Woodbine Rd
Saint Joseph, MO 64505-9323
Phone: (816) 281-2346
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 14-03730 (KS)

Record details

NPI number1346836962
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 17, 2020
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020
Mailing address3107 Morton Ln, Saint Joseph, MO 64506-1379

Other providers in Saint Joseph