Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY WALLIS, L.AC.
ActiveMARY WALLIS, L.AC. is a Acupuncturist healthcare provider located in FLORISSANT, Missouri. NPI 1760830822 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · FLORISSANT, MO
Registration Details
- NPI Number
- 1760830822
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2016 (10.163994427643 yrs)
- Last Updated
- Jun 2, 2016
- License
-
2007002923 (MO)
Practice Information
- Address
-
895 RUE SAINT FRANCOISFLORISSANT, MO, 630314923Browse MO providers · Browse ZIP 63031
- Phone
- 3149213366
- Primary Specialty
-
Acupuncturist
171100000X
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.