Nicole Lee Wallace

PTA | Physical Therapist Assistant


 1531 E Bradford Pkwy Ste 210-4, Springfield
    Missouri, 65804-6539

  417-881-9500    Maps & Directions
Nicole Lee Wallace is a Springfield, Missouri based pta who is specialized as Physical Therapist Assistant. Active license number of Nicole Lee Wallace as Physical Therapist Assistant is 2025036692 in Missouri.
Nicole Lee Wallace is an individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. She help patients to follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist.
Complete Profile:
Nicole Lee Wallace speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Physical Therapy Assistant
Credentials: PTA
Gender:Female
Practice Address:1531 E Bradford Pkwy Ste 210-4, Springfield,
Missouri, 65804-6539
Phone:417-881-9500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1619884186
NPI Enumeration Date: 27 Aug, 2026
NPI Last Update On: 27 Aug, 2026
Medical Licenses:
PTA's can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Lee Wallace are as mentioned below.
License NumberSpecializationStateStatus
2025036692Physical Therapist Assistant MissouriPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1531 E Bradford Pkwy Ste 210-4,
Springfield, Missouri
Zip: 65804-6539
Phone Number: --
Fax Number: --
Patients can reach Nicole Lee Wallace at 1531 E Bradford Pkwy Ste 210-4, Springfield, Missouri or can call to book an appointment on 417-881-9500.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.