JAKE TYLER WALLIS

MORRILTON, AR
NPI1235682238
Professional NameJAKE TYLER WALLIS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2016-07-27
Last Update Date2025-07-14
Business Address
JAKE TYLER WALLIS
100 WALMART DR STE 5
MORRILTON, AR 72110-4525
Phone number: 501-477-2202
Mailing Address
JAKE TYLER WALLIS
2100 W MAIN ST
RUSSELLVILLE, AR 72801-2758
Phone number: 479-968-2525