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Tara Wallace
NPI 1043633027 · on the registry since 2014
Practice
- Address
- 225 Sw 12th St Rm 205
Topeka, KS 66612 - Phone
- (785) 633-9453
- Fax
- (785) 727-4006
- Organisation at this address
- E.P.I.C. Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas