Kelly Wallace, PT
NPI 1760727283 · Physical Therapist · Southaven, MS
Kelly Wallace, PT is a Physical Therapist provider in Southaven, MS (NPI 1760727283).
Provider details
- NPI number
- 1760727283
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1734 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-12-10
- Last updated
- 2012-12-10
Frequently asked questions
- What is Kelly Wallace's NPI number?
- Kelly Wallace's National Provider Identifier (NPI) is 1760727283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Wallace's specialty?
- Kelly Wallace is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Wallace located?
- Kelly Wallace's practice location on file with NPPES is 7160 Tchulahoma Rd Ste 4, Southaven, MS 38671-9266.
- What is Kelly Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kelly Wallace is (662) 349-2733.
- Is Kelly Wallace's NPI active?
- Yes — Kelly Wallace's NPI (1760727283) is active in the NPPES registry as of the last update on 2012-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.