ALEXIS D WALLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008656

License Status

ACTIVE

Business

First Name

ALEXIS

Middle

Last Name

WALLER

Business Name

ALEXIS D WALLER

Original Issue Date

12/08/2021

Effective Date

09/09/2025

Expiration Date

09/30/2027

City

ROSAMOND

State

Zip

62083

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

09/09/2025