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Dr. Elyssa Waller, DC
Chiropractor in Marianna, Florida
NPI 1265541536

Elyssa Waller is a Chiropractor based in Marianna, FL. Elyssa Waller practices in Marianna, FL and has the professional credentials of DC. The NPI Number for Elyssa Waller is 1265541536 and holds a License No. 2122 (Florida).

The current practice location address for Elyssa Waller is 2525 Commercial Park Dr, Marianna, FL and can be reached out via phone at 850-482-2373.

Location: 2525 Commercial Park Dr, Marianna, FL, 32448-2522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265541536
Provider Name
Elyssa Waller
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
2525 Commercial Park Dr, Marianna, FL, 32448-2522
Phone Number
850-482-2373
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
76131 01 FL BCBS
51527075 01 AL BCBS
institution
Provider Business Practice Location Address Details
Address
2525 Commercial Park Dr
City
Marianna
State
Florida
Zip
32448-2522
Phone Number
850-482-2373
Fax Number
person
Provider Business Mailing Address Details
Address
2525 Commercial Park Dr
City
Marianna
State
Florida
Zip
32448-2522
Phone Number
850-482-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2122 (Alabama)
Definition
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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