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Kassy Arlene Wallace, PT,DPT
Orthopedic Physical Therapist in Cadillac, Michigan
NPI 1790456614

Kassy Arlene Wallace is a Orthopedic Physical Therapist based in Cadillac, MI and is specialized in Orthopedic. Kassy Arlene Wallace practices in Cadillac, MI and has the professional credentials of PT,DPT. The NPI Number for Kassy Arlene Wallace is 1790456614 and holds a License No. (Michigan).

The current practice location address for Kassy Arlene Wallace is 8872 Professional Dr Ste C, Cadillac, MI and can be reached out via phone at 231-876-0010 and via fax at 231-876-0241. You can also correspond with Kassy Arlene Wallace through the mailing address at 8872 PROFESSIONAL DR STE C, CADILLAC, MI - 49601-8482 (mailing address contact number: 231-876-0010).

Location: 8872 Professional Dr Ste C, Cadillac, MI, 49601-8482
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790456614
Provider Name
Kassy Arlene Wallace
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Female
Address
8872 Professional Dr Ste C, Cadillac, MI, 49601-8482
Phone Number
231-876-0010
Fax Number
231-876-0241
Provider Enumeration Date
09/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8872 Professional Dr Ste C
City
Cadillac
State
Michigan
Zip
49601-8482
Phone Number
231-876-0010
Fax Number
231-876-0241
person
Provider Business Mailing Address Details
Address
8872 Professional Dr Ste C
City
Cadillac
State
Michigan
Zip
49601-8482
Phone Number
231-876-0010
Fax Number
231-876-0241
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
5501301778 (Michigan)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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