Individual
ALLYSA NOEL STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1808 W JEFFERSON BLVD, DALLAS, TX 75208-5439
(469) 781-1150
Mailing address
766 S MANUS DR, DALLAS, TX 75224-1380
(850) 758-5788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15873
TX
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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