Mary Wallis, LAC - Acupuncturist in Florissant, MO

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Mary Wallis, LAC is a Acupuncturist based in Florissant, Missouri. Mary Wallis is licensed to practice in Missouri (license number 2007002923) and her current practice location is 895 Rue Saint Francois, Florissant, Missouri. She can be reached at her office (for appointments etc.) via phone at (314) 921-3366.

NPI number for Mary Wallis is 1760830822 and her current mailing address is 895 Rue Saint Francois, Florissant, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760830822.

Contact Information

Mary Wallis, LAC
895 Rue Saint Francois,
Florissant, MO 63031-4923
(314) 921-3366
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary Wallis
GenderFemale
SpecialityAcupuncturist
Location895 Rue Saint Francois, Florissant, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760830822
  • Provider Enumeration Date: 05/31/2016
  • Last Update Date: 06/02/2016

Medical Identifiers

Medical identifiers for Mary Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760830822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist 2007002923 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Wallis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Wallis, LAC
895 Rue Saint Francois,
Florissant, MO 63031-4923

Ph: (314) 921-3366		Mary Wallis, LAC
895 Rue Saint Francois,
Florissant, MO 63031-4923

Ph: (314) 921-3366

Reviews and Comments


Acupuncturist in Florissant, MO


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