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

Individual provider Physical Therapy Assistant · NPI 1811423270

Lorri Wallace is a Physical Therapy Assistant in Neodesha, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2017
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Practice location Address checks out

3419 US 75 Hwy
Neodesha, KS 66757-9443
Phone: (620) 330-2748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 14-01984 (KS)

Record details

NPI number1811423270
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2017
Last updated in NPPESMay 4, 2017

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