Search › Illinois › 363LF0000X
Bethany Walls
NPI 1063052231 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1200 W Loucks Ave
Peoria, IL 61604 - Phone
- (309) 306-7421
- Clinicians at this address
- 5
Additional practice sites
- 789 Old Nashville Hwy, Mc Ewen, TN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-30
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 Illinois