location
search-icon
person
Mary Elise Waller, PT,DPT
Orthopedic Physical Therapist in Southlake, Texas
NPI 1649865692

Mary Elise Waller is a Orthopedic Physical Therapist based in Dallas, TX and is specialized in Orthopedic. Mary Elise Waller practices in Southlake, TX and has the professional credentials of PT,DPT. The NPI Number for Mary Elise Waller is 1649865692 and holds a License No. 1342742 (Texas).

The current practice location address for Mary Elise Waller is 2419 W Southlake Blvd Ste 100, Southlake, TX and can be reached out via phone at 469-535-6842.

Location: 2419 W Southlake Blvd Ste 100, Southlake, TX, 75230-5020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649865692
Provider Name
Mary Elise Waller
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Female
Address
2419 W Southlake Blvd Ste 100, Southlake, TX, 75230-5020
Phone Number
469-535-6842
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2419 W Southlake Blvd Ste 100
City
Southlake
State
Texas
Zip
76092-1506
Phone Number
469-535-6842
Fax Number
person
Provider Business Mailing Address Details
Address
2419 W Southlake Blvd Ste 100
City
Southlake
State
Texas
Zip
76092-1506
Phone Number
469-535-6842
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
1342742 (Texas)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.