Jake Tyler Wallis

NPI #1235682238 in Morrilton, Arkansas

Provider Information

NPI Number: 1235682238
Entity Type: Individual
Name: Jake Tyler Wallis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 27, 2016
Last Updated: Jul 14, 2025

Practice Location

Address: 100 WALMART DR STE 5
City: Morrilton
State: Arkansas
ZIP Code: 72110-4525
Phone: (501) 477-2202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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