Wallis Chiropractic LLC
NPI #1962890533 in Fort Myers, Florida
Provider Information
- NPI Number
- 1962890533
- Entity Type
- Organization
- Organization Name
- Wallis Chiropractic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 5, 2015
- Last Updated
- Jan 5, 2015
Practice Location
- Address
- 6309 CORPORATE CT STE 110
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33919-3539
- Phone
- (239) 433-1011
Authorized Official
- Name
- DR. KELLY JEAN WALLIS, D.C.
- Title
- DOCTOR
- Phone
- (239) 433-1011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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