Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE TYLER WALLIS
ActiveJAKE TYLER WALLIS is a Physical Therapy Assistant healthcare provider located in MORRILTON, Arkansas. NPI 1235682238 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MORRILTON, AR
Registration Details
- NPI Number
- 1235682238
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2016 (9.8673524631805 yrs)
- Last Updated
- Jul 14, 2025
Practice Information
- Address
-
100 WALMART DR STE 5MORRILTON, AR, 721104525Browse AR providers · Browse ZIP 72110
- Phone
- 5014772202
- Fax
- 5014210543
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MORRILTON, AR
| Name | Credential | NPI |
|---|---|---|
| DJUANA BECK | — | 1255445391 |
| BRENDA WILSON | PT | 1720100464 |
| MRS. SANDRA L GREESON | MS PT | 1538392360 |
| CANDICE R WATKINS | — | 1396174223 |
| DR. ANNEMIEKE DIONNE CORBITT | PT, DPT | 1962926196 |
| KAREN ELIZABETH BROSARD | PTA | 1427577139 |
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.