Individual provider · Type 1 NPI

Wayne Bradley Wallace, DC

Chiropractor · Johnstown, PA

NPI number 1487839874 Active

Practice location

638 Ferndale Ave
Johnstown, PA 15905-3946

Call (814) 288-2288 Map

Fax (814) 288-2218

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC007224L (PA)

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.

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About NPI 1487839874

Wayne Bradley Wallace, DC's National Provider Identifier is 1487839874, issued on Jan 3, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Johnstown, PA. The record was last updated on Jan 3, 2008.