TANNER WALLACE

SAINT JOSEPH, MO
NPI1346836962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-03730)
Enumeration Date2020-12-17
Last Update Date2020-12-17
Business Address
TANNER WALLACE
3302 N WOODBINE RD
SAINT JOSEPH, MO 64505-9323
Phone number: 816-281-2346
Mailing Address
TANNER WALLACE
3107 MORTON LN
SAINT JOSEPH, MO 64506-1379
Phone number: 816-383-4400
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