MR. MELVIN WALLIS JR. ATC
NPI 1073273637
Specialist/Technologist - Athletic Trainer in Houma, LA

Active since December 23, 2021

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Melvin Wallis Jr. Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MELVIN WALLIS JR. ATC (NPI 1073273637) is an individual athletic trainer provider in Houma, Louisiana, licensed in Louisiana (ATH.200141) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1073273637
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. MELVIN WALLIS JR.Credential: ATC
Location Address8166 MAIN STHouma, LA 70360-3404
Mailing Address8166 Main StHouma, LA 70360-3404 · (985) 873-4141
Sole ProprietorNo
Enumeration DateDecember 23, 2021
NPPES CertifiedOctober 12, 2021
NPI 1073273637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License Licensed in LA · ATH.200141
Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

8166 MAIN ST, Houma, LA 70360

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
8166 MAIN ST
HOUMA, LA 70360
Family Medicine
8166 MAIN ST
HOUMA, LA 70360
Nurse Anesthetist, Certified Registered
8166 MAIN ST
HOUMA, LA 70360
Nurse Anesthetist, Certified Registered
8166 MAIN ST
HOUMA, LA 70360
Emergency Medicine
8166 MAIN ST
HOUMA, LA 70360
Emergency Medicine
8166 MAIN ST
HOUMA, LA 70360
Emergency Medicine
8166 MAIN ST
HOUMA, LA 70360
Family Medicine
8166 MAIN ST
HOUMA, LA 70360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melvin Wallis's NPI number?

The NPI number for Melvin Wallis is 1073273637. It was assigned to this individual provider in the NPPES registry on December 23, 2021.

Where is Melvin Wallis located?

Melvin Wallis practices at 8166 Main St, Houma, LA 70360. The listed phone number is (985) 873-4141.

What is Melvin Wallis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Melvin Wallis was last updated on December 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.