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

Mr. Melvin Wallis Jr., ATC

Individual provider Athletic Trainer · NPI 1073273637

Mr. Melvin Wallis Jr., ATC is an Athletic Trainer in Houma, Louisiana. Licensed in Louisiana. Registered with an NPI since 2021.

Licensed in
LA
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

8166 Main St
Houma, LA 70360-3404
Phone: (985) 873-4141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATH.200141 (LA)

Record details

NPI number1073273637
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedDecember 23, 2021
Last updated in NPPESDecember 23, 2021
Certification dateOctober 12, 2021

Other providers in Houma