SearchMissouri171100000X

Mary Wallis, L.AC

NPI 1760830822 · on the registry since 2016

Practice

Address
895 Rue Saint Francois
Florissant, MO 63031
Phone
(314) 921-3366

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-02

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 Missouri