Search › Montana › 133N00000X
Richard Wallace, LICAC
NPI 1750458402 · on the registry since 2006
Practice
- Address
- 914 13th Ave South
Great Falls, MT 59405 - Phone
- (406) 761-3767
- Fax
- (406) 761-3038
- Organisation at this address
- Np Clinic Resources Inc
Northern Lights Physical Therapy, Llc
Comprehensive Medical Rehabilitation Services, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 133N00000X
133N00000X
- Also registered as
- 133V00000X
171100000X - Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
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 Montana