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

William C Wallace, PT

Individual provider Physical Therapist · NPI 1508880493

William C Wallace, PT is a Physical Therapist in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1113 N Castle Heights Ave Ste D
Lebanon, TN 37087-5640
Phone: (615) 965-9000
Fax: (615) 965-9001
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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 PT 4793 (TN)

Record details

NPI number1508880493
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJune 7, 2013
Mailing address1113 N Castle Heights Ave, Suite D, Lebanon, TN 37087-5640

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