Individual provider · Type 1 NPI
Mary Elise Waller, PT, DPT
Orthopedic Physical Therapist · Southlake, TX
Practice location
2419 W Southlake Blvd Ste 100
Southlake, TX 76092-1506
Mailing address
5828 Colhurst St
Dallas, TX 75230-5020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Physical Therapist Primary | 2251X0800X | 1342742 (TX) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
7 other providers at this address
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- Brittany PadgettMedical Physician Assistant Southlake, TX NPI 1215755814
- Lyndsay Marie Garza, PA-CPhysician Assistant Southlake, TX NPI 1578203808
- Micah Christian Bowman, PA-CPhysician Assistant Southlake, TX NPI 1013539998
- Niranjan KC, PA-CPhysician Assistant Southlake, TX NPI 1205464138
- Tracee Smith, MPT, DPTPhysical Therapist Southlake, TX NPI 1285192484
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About NPI 1649865692
Mary Elise Waller, PT, DPT's National Provider Identifier is 1649865692, issued on Mar 2, 2021. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Southlake, TX. The record was last updated on Mar 2, 2021.