Beverly Gail Wallis

NPI #1467047159 in Branson, Missouri

Provider Information

NPI Number: 1467047159
Entity Type: Individual
Name: Beverly Gail Wallis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Mar 4, 2021
Last Updated: Mar 4, 2021

Practice Location

Address: 158 POINTE ROYALE DR STE 140
City: Branson
State: Missouri
ZIP Code: 65616-3401
Phone: (501) 250-3247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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