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WALLIS CHIROPRACTIC LLC
NPI 1962890533
Chiropractor in Fort Myers, FL

Active since January 05, 2015
6309 CORPORATE CT STE 110, FORT MYERS, FL 33919(239) 433-1011(239) 433-3737 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wallis Chiropractic Llc NPPES

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

WALLIS CHIROPRACTIC LLC (NPI 1962890533) is a healthcare organization registered as a chiropractor in Fort Myers, Florida and active in the NPI registry since January 2015. The organization lists Kelly Jean Wallis, Doctor, as its authorized official.

NPPES Registry Identity

NPI1962890533
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWALLIS CHIROPRACTIC LLC
Location Address6309 CORPORATE CT STE 110Fort Myers, FL 33919-3539
Mailing Address6309 Corporate Ct Ste 110Fort Myers, FL 33919-3539 · (239) 433-1011 · Fax (239) 433-3737
Phone(239) 433-1011
Fax(239) 433-3737
Organization SubpartNo
Authorized OfficialKelly Jean WallisDoctor · (239) 433-1011
Enumeration DateJanuary 5, 2015
✔ NPI 1962890533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH10990
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.
6309 CORPORATE CT STE 110, Fort Myers, FL 33919
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Other Identifiers 1

Medicare PIN1952724395FL

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

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

DUGAN CHIROPRACTIC INC
Chiropractor
6309 CORPORATE CT STE 110
FORT MYERS, FL 33919
Lee County (239) 433-1011

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 Wallis Chiropractic LLC's NPI number?

The NPI number for Wallis Chiropractic LLC is 1962890533. It was assigned to this organization in the NPPES registry on January 5, 2015.

Where is Wallis Chiropractic LLC located?

Wallis Chiropractic LLC is located at 6309 Corporate Ct Ste 110, Fort Myers, FL 33919. The listed phone number is (239) 433-1011.

What is Wallis Chiropractic LLC'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 Wallis Chiropractic LLC was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.