| Doctor Name: | KARLA WALLNER |
| NPI Number: | 1104292861 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 9988 |
| Business Practice Address: | 490 Highway 96 W Suite 300 Shoreview, MN - 551261960 |
| Business Phone Number: | 6514513016 |
| Business Fax Number: | |
| Mailing Address: | 490 Highway 96 W, Suite 300 SHOREVIEW |
| State: | MN |
| Postal Code: | 551261960 |
| Phone Number: | 6514513016 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2015 |
| NPI Last Update Date: | 08/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 9988 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |