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WALLACE FAMILY CHIROPRACTIC PA
NPI 1538675194
Chiropractor in Deland, FL

Active since December 19, 2017
502 N SPRING GARDEN AVE, DELAND, FL 32720(386) 469-9777(386) 469-9070 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Wallace Family Chiropractic Pa NPPES

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

WALLACE FAMILY CHIROPRACTIC PA (NPI 1538675194) is a healthcare organization registered as a chiropractor in Deland, Florida and active in the NPI registry since December 2017. The organization lists Kenneth Robert Wallace, President/owner, as its authorized official.

NPPES Registry Identity

NPI1538675194
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWALLACE FAMILY CHIROPRACTIC PA
Location Address502 N SPRING GARDEN AVEDeland, FL 32720-3193
Mailing Address502 N Spring Garden AveDeland, FL 32720-3193 · (386) 469-9777 · Fax (386) 469-9070
Phone(386) 469-9777
Fax(386) 469-9070
Organization SubpartNo
Authorized OfficialKenneth Robert WallacePresident/owner · (386) 469-9777
Enumeration DateDecember 19, 2017
✔ NPI 1538675194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
502 N SPRING GARDEN AVE, Deland, FL 32720
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MEYLAN BAUTA SANCHEZ
Behavior Technician
502 N SPRING GARDEN AVE
DELAND, FL 32720
Volusia County (407) 342-7939
WELL-WATERED GARDEN MASSAGE AND WELLNESS
Massage Therapist
502 N SPRING GARDEN AVE, SUITE 8
DELAND, FL 32720
Volusia County (386) 740-0006

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 Wallace Family Chiropractic PA's NPI number?

The NPI number for Wallace Family Chiropractic PA is 1538675194. It was assigned to this organization in the NPPES registry on December 19, 2017.

Where is Wallace Family Chiropractic PA located?

Wallace Family Chiropractic PA is located at 502 N Spring Garden Ave, Deland, FL 32720. The listed phone number is (386) 469-9777.

What is Wallace Family Chiropractic PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Wallace Family Chiropractic PA was last updated on December 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.