Individual provider · Type 1 NPI

Caleb Dylan Wallace, DC

Chiropractor · Moore, OK

NPI number 1508775420 Active

Practice location

1101 SW 30th Ct Ste B
Moore, OK 73160-2887

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4735 (OK)

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 1508775420

Caleb Dylan Wallace, DC's National Provider Identifier is 1508775420, issued on Sep 4, 2026. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Moore, OK. The record was last updated on Sep 4, 2026.