Individual
BEVERLY GAIL WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 POINTE ROYALE DR STE 140, BRANSON, MO 65616-3401
(501) 250-3247
Mailing address
158 POINTE ROYALE DR STE 140, BRANSON, MO 65616-3401
(501) 250-3247
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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