Individual
TANNER WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3302 N WOODBINE RD, SAINT JOSEPH, MO 64505-9323
(816) 281-2346
Mailing address
3107 MORTON LN, SAINT JOSEPH, MO 64506-1379
(816) 383-4400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03730
KS
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us