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

Travis Wallace

Individual provider Case Manager/Care Coordinator · NPI 1528910049

Travis Wallace is a Case Manager/Care Coordinator in Willoughby, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

37721 Vine St Ste 1
Willoughby, OH 44094-6256
Phone: (440) 525-5305
Fax: (440) 525-5235
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)

Record details

NPI number1528910049
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address37721 Vine St Ste 1, Willoughby, OH 44094-6256

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