Individual provider · Type 1 NPI
Roger D. Wallis, P.C.
Chiropractor · Fort Lupton, CO
NPI number
1063615243
Active
Practice location
419 Denver Ave
Fort Lupton, CO 80621-1823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1509 (CO) |
Chiropractor: 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.
Another provider at this address
Other chiropractor providers in Fort Lupton
About NPI 1063615243
Roger D. Wallis, P.C.'s National Provider Identifier is 1063615243, issued on Jun 6, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Lupton, CO. The record was last updated on Dec 7, 2007.