Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MELVIN WALLIS JR., ATC
ActiveMR. MELVIN WALLIS JR., ATC is a Athletic Trainer healthcare provider located in HOUMA, Louisiana. NPI 1073273637 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HOUMA, LA
Registration Details
- NPI Number
- 1073273637
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2021 (4.6029478658744 yrs)
- Last Updated
- Dec 23, 2021
- License
-
ATH.200141 (LA)
Practice Information
- Address
-
8166 MAIN STHOUMA, LA, 703603404Browse LA providers · Browse ZIP 70360
- Phone
- 9858734141
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in HOUMA, LA
| Name | Credential | NPI |
|---|---|---|
| BRETT CHIASSON | ATC | 1497167464 |
| HUNTER MARTIN | — | 1114396041 |
| DREW ESCHETE | ATC, LAT, MS | 1851829311 |
| PEYTON LEA BLEDSOE | LAT, ATC | 1518431345 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.