Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Nicole Wales, DC

Individual provider Chiropractor · NPI 1457691594

Mallory Nicole Wales, DC is a Chiropractic in Royal Oak, Michigan. Qualified in 2012, 14 years ago. Practices with Center for Complementary and Integrative Medicine, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
14
Licensed in
IN, MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

26300 Woodward Ave
Royal Oak, MI 48067-0917
Phone: (248) 546-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6388 W Jefferson Blvd, Fort Wayne, IN 46804-3075 — (260) 432-9355

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2301010995 (MI)
Chiropractor Taxonomy 111N00000X · Licence 08002702A (IN)

Record details

NPI number1457691594
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedFebruary 27, 2013
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Center For Complementary And Integrative Medicine — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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