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

Wallace Wilson, MSPT

Individual provider Physical Therapist · NPI 1730423666

Wallace Wilson, MSPT is a Physical Therapist in Anchorage, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2012
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Practice location Address checks out

701 Sesame St Ste 101
Anchorage, AK 99503-6647
Phone: (907) 561-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1625 (AK)

Record details

NPI number1730423666
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address701 Sesame St, Suite 101, Anchorage, AK 99503-6647

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