Grace Wallace, PT, DPT | |
550 Munson Ave, Traverse City, MI 49686-3580 | |
(231) 935-8659 | |
Not Available |
Full Name | Grace Wallace |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 550 Munson Ave, Traverse City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851861850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501018654 (Michigan) | Primary |
Provider Name | University Of Utah |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
Mailing Address | Practice Location Address |
---|---|
Grace Wallace, PT, DPT 1105 6th St, Traverse City, MI 49684-2345 Ph: () - | Grace Wallace, PT, DPT 550 Munson Ave, Traverse City, MI 49686-3580 Ph: (231) 935-8659 |
Catherine Ann Veeser, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5191 Rosewood Dr, Traverse City, MI 49685 Phone: 231-946-1979 Fax: 231-946-1984 | |
Nickolas Hawkins, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 131 E State St, Traverse City, MI 49684 Phone: 517-740-4298 | |
Mr. James A Harvey, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Barlow St, Traverse City, MI 49686 Phone: 231-941-3100 Fax: 231-922-0382 | |
Sarah Brokaw, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5191 Rosewood Dr, Traverse City, MI 49684 Phone: 231-213-1135 Fax: 231-935-0599 | |
Sara K Devaun, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 812 S Garfield Ave, Traverse City, MI 49686 Phone: 231-421-9201 Fax: 231-421-9193 | |
Christopher Jacob Hinze, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Pavilions Cir, Traverse City, MI 49684 Phone: 231-932-3169 Fax: 231-932-3024 | |
Karen Reyhl, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-935-7354 |