DIANA L WALLER D.C. - NPI 1225202286 - Chiropractor in Las Vegas, NV

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Diana L Waller D.c. NPPES

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

DIANA L WALLER D.C. (NPI 1225202286) is an individual chiropractor in Las Vegas, Nevada, licensed in Nevada (B00909) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1225202286

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDIANA L WALLERCredential: D.C.

Location Address7312 W CHEYENNE AVE, SUITE 1Las Vegas, NV 89129-7428

Mailing Address7312 W Cheyenne Ave, Suite 1Las Vegas, NV 89129-7428 · (702) 463-2223 · Fax (702) 463-2221

Phone(702) 463-2223

Fax(702) 463-2221

Sole ProprietorYes

Enumeration DateApril 21, 2008

✔ NPI 1225202286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NV · B00909

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

7312 W CHEYENNE AVE, Las Vegas, NV 89129

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