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Dr. Matthew C Wallis, DC
Chiropractor in Paducah, Kentucky
NPI 1851499388

Matthew C Wallis is a Chiropractor based in Paducah, KY. Matthew C Wallis practices in Paducah, KY and has the professional credentials of DC. The NPI Number for Matthew C Wallis is 1851499388 and holds a License No. 4456 (Kentucky).

The current practice location address for Matthew C Wallis is 2725 James Sanders Blvd, Paducah, KY and can be reached out via phone at 270-554-5114 and via fax at 270-554-5021.

Location: 2725 James Sanders Blvd, Paducah, KY, 42001-8401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851499388
Provider Name
Matthew C Wallis
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2725 James Sanders Blvd, Paducah, KY, 42001-8401
Phone Number
270-554-5114
Fax Number
270-554-5021
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
611375366 01 KY TAX ID
institution
Provider Business Practice Location Address Details
Address
2725 James Sanders Blvd
City
Paducah
State
Kentucky
Zip
42001-8401
Phone Number
270-554-5114
Fax Number
270-554-5021
person
Provider Business Mailing Address Details
Address
2725 James Sanders Blvd
City
Paducah
State
Kentucky
Zip
42001-8401
Phone Number
270-554-5114
Fax Number
270-554-5021
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4456 (Kentucky)
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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