| Wallis Chiropractic Llc | |
|
6309 Corporate Ct Ste 110, Fort Myers, FL 33919-3539 | |
| (239) 433-1011 | |
| (239) 433-3737 |
| Full Name | Wallis Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6309 Corporate Ct Ste 110, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962890533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH10990 (Florida) | Primary |
| Provider Name | Kelly J Wallis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952724395 PECOS PAC ID: 6507181898 Enrollment ID: I20150209000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Wallis Chiropractic Llc 6309 Corporate Ct Ste 110, Fort Myers, FL 33919-3539 Ph: (239) 433-1011 | Wallis Chiropractic Llc 6309 Corporate Ct Ste 110, Fort Myers, FL 33919-3539 Ph: (239) 433-1011 |
Dr. John Howard Kellenberger Sr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 14090 Metropolis Ave, Suite 101, Fort Myers, FL 33912 Phone: 239-489-4100 Fax: 239-489-1314 | |
Dr. Matthew Edward Mccabe I, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10491 6 Mile Cypress Pkwy, Fort Myers, FL 33966 Phone: 239-288-5876 | |
Jason B Kaster, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1791 Boy Scout Dr Ste 6, Fort Myers, FL 33907 Phone: 239-332-2555 Fax: 239-332-2556 | |
Dr. Linda D Stevens, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12951 Metro Pkwy Ste 5, Fort Myers, FL 33912 Phone: 239-489-4100 Fax: 239-489-1314 | |
Kristian Roman, DR OF CHIROPRACTIC Chiropractor Medicare: Medicare Enrolled Practice Location: 3949 Evans Ave Ste 406, Fort Myers, FL 33901 Phone: 239-288-7274 | |
Danielle Zappile, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5245 Big Pine Way Ste 102, Fort Myers, FL 33907 Phone: 239-202-0999 Fax: 239-237-9073 | |
Alan Bruce Dautch, Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8595 College Pkwy, #110, Fort Myers, FL 33919 Phone: 561-988-1022 |