Individual provider · Type 1 NPI

Jake Tyler Wallis

Physical Therapist · Morrilton, AR

NPI number 1235682238 Active

Practice location

100 Walmart Dr Ste 5
Morrilton, AR 72110-4525

Fax (501) 421-0543

Mailing address

2100 W Main St
Russellville, AR 72801-2758

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1235682238

Jake Tyler Wallis's National Provider Identifier is 1235682238, issued on Jul 27, 2016. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Morrilton, AR. The record was last updated on Jul 14, 2025.