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

Mary Wallis, LAC

Individual provider Acupuncturist · NPI 1760830822

Mary Wallis, LAC is an Acupuncturist in Florissant, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

895 Rue Saint Francois
Florissant, MO 63031-4923
Phone: (314) 921-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 2007002923 (MO)

Record details

NPI number1760830822
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESJune 2, 2016