ELYSSA N WALLER
NPI 1962947960
Chiropractor in Marianna, FL

Q: What is Elyssa N Waller's NPI number?

The NPI number for Elyssa N Waller is 1962947960. It was assigned to this organization in the NPPES registry on December 29, 2016.

Q: What is Elyssa N Waller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elyssa N Waller was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since December 29, 2016

4729 HIGHWAY 90, MARIANNA, FL 32446(850) 482-2373(850) 482-2395 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elyssa N Waller NPPES

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

ELYSSA N WALLER (NPI 1962947960) is a healthcare organization registered as a chiropractor in Marianna, Florida and active in the NPI registry since December 2016. The organization lists Elyssa Waller, Owner, as its authorized official.

NPPES Registry Identity

NPI1962947960

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameELYSSA N WALLER

Location Address4729 HIGHWAY 90Marianna, FL 32446-6820

Mailing Address4729 Highway 90Marianna, FL 32446-6820 · (850) 482-2373 · Fax (850) 482-2395

Phone(850) 482-2373

Fax(850) 482-2395

Organization SubpartNo

Authorized OfficialElyssa WallerOwner · (850) 482-2373

Enumeration DateDecember 29, 2016

✔ NPI 1962947960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in FL · CH9060

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.

4729 HIGHWAY 90, Marianna, FL 32446

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Other Identifiers 1

OtherU1XD4Florida Blue

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

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 Elyssa N Waller's NPI number?

The NPI number for Elyssa N Waller is 1962947960. It was assigned to this organization in the NPPES registry on December 29, 2016.

Where is Elyssa N Waller located?

Elyssa N Waller is located at 4729 Highway 90, Marianna, FL 32446. The listed phone number is (850) 482-2373.

What is Elyssa N Waller'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 Elyssa N Waller was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.