DR. Kaitlin Brooke Wallace, PT, DPT

NPI #1194482620 in Maryville, Tennessee

Provider Information

NPI Number: 1194482620
Entity Type: Individual
Name: DR. Kaitlin Brooke Wallace, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Nov 18, 2021
Last Updated: Nov 18, 2021

Practice Location

Address: 629 SMITHVIEW DR
City: Maryville
State: Tennessee
ZIP Code: 37803-6100
Phone: (865) 984-8484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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