IndividualActive
Alicia Wallace, PTA
NPI 1952052060 · Physical Therapy Assistant · Albert Lea, MN
Provider details
- NPI number
- 1952052060
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A1345 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1861 Eagle View Cir
Albert Lea, MN 56007-1818
Phone: (507) 373-2040
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 277
Geneva, MN 56035-0277
Registry dates
- Enumerated
- 2022-01-11
- Last updated
- 2022-01-11
- Certified
- 2022-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.