Mark Waller, PT

Physical Therapist · Lehigh Acres, FL

Individual Active NPI

NPI number 1801525381

Practice location

11742 Eros Rd
Lehigh Acres, FL 33971-3759
Phone
(239) 671-8962

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NPI record

NPI
1801525381
Entity type
Individual (Type 1)
Enumeration date
June 9, 2022
Last updated
June 9, 2022
Certified
June 9, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 16250 FL

About Mark Waller

Mark Waller, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 11742 Eros Rd, Lehigh Acres, FL 33971-3759. The NPI number 1801525381 was assigned on June 9, 2022 and the record was last updated on June 9, 2022.

Mark Waller lists a license in the registry: #16250 (FL) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Waller, PT?

The NPI number is 1801525381.

What is the phone number of Mark Waller?

The phone number listed for the practice location is (239) 671-8962.

Where is Mark Waller located?

11742 Eros Rd, Lehigh Acres, FL 33971-3759.

What is the taxonomy code for Mark Waller?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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