Individual
TONI WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1000 FIANNA WAY, FORT SMITH, AR 72916-8285
(479) 222-4698
(479) 308-0264
Mailing address
3204 AUBURN DR, ROWLETT, TX 75088-6647
(903) 343-2654
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15064
TX
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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