Melissa Wallace, PT in Mayflower, AR - Physical Therapist

Melissa Wallace, PT is a Physical Therapist based in Mayflower, Arkansas. Melissa Wallace is licensed to practice in Arkansas (license number PT 1824) and her current practice location is 582 Hwy 365 Ste 3, Mayflower, Arkansas. She can be reached at her office (for appointments etc.) via phone at (501) 470-3500.

NPI number for Melissa Wallace is 1285903955 and her current mailing address is 3930 Gabrial Drive, Conway, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285903955.

Contact Information

	Melissa Wallace, PT
	582 Hwy 365 Ste 3, Mayflower, AR 72106
	(501) 470-3500
	(501) 470-3502

Healthcare Provider's Profile

Full Name	Melissa Wallace
Gender	Female
Speciality	Physical Therapist
Location	582 Hwy 365 Ste 3, Mayflower, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1285903955
Provider Enumeration Date: 12/23/2011
Last Update Date: 12/23/2011

Medical Identifiers

Medical identifiers for Melissa Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285903955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT 1824 (Arkansas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Melissa Wallace, PT 3930 Gabrial Drive, Conway, AR 72034-3366 Ph: (501) 470-3500	Melissa Wallace, PT 582 Hwy 365 Ste 3, Mayflower, AR 72106 Ph: (501) 470-3500

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Physical Therapist in Mayflower, AR

Mrs. Erin R. Lewis, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Grove Street, Mayflower, AR 72106 Phone: 501-470-0387
Betsy A Benson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 582 Highway 365, Suite 3, Mayflower, AR 72106 Phone: 501-470-3500
H&h Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Ashmore Dr, Mayflower, AR 72106 Phone: 501-514-4328

Melissa Wallace, PT - Physical Therapist in Mayflower, AR