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Elyssa N Waller
Chiropractor in Marianna, Florida
NPI 1962947960

Elyssa N Waller is a Chiropractor based in Marianna, FL. Elyssa N Waller practices in Marianna, FL. The NPI Number for Elyssa N Waller is 1962947960 and holds a License No. CH9060 (Florida).

The current practice location address for Elyssa N Waller is 4729 Highway 90, Marianna, FL and can be reached out via phone at 850-482-2373 and via fax at 850-482-2395.

Location: 4729 Highway 90, Marianna, FL, 32446-6820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962947960
Provider Name
Elyssa N Waller
Credential
Provider Entity Type
Organization
Address
4729 Highway 90, Marianna, FL, 32446-6820
Phone Number
850-482-2373
Fax Number
850-482-2395
Provider Enumeration Date
12/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
U1XD4 01 FLORIDA BLUE
institution
Provider Business Practice Location Address Details
Address
4729 Highway 90
City
Marianna
State
Florida
Zip
32446-6820
Phone Number
850-482-2373
Fax Number
850-482-2395
person
Provider Business Mailing Address Details
Address
4729 Highway 90
City
Marianna
State
Florida
Zip
32446-6820
Phone Number
850-482-2373
Fax Number
850-482-2395
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH9060 (Florida)
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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