Provider Demographics
NPI:1821292335
Name:WADLEY, ALMAYA GRACHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALMAYA
Middle Name:GRACHELLE
Last Name:WADLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 SALT WORKS RD
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75803-3239
Mailing Address - Country:US
Mailing Address - Phone:972-409-9395
Mailing Address - Fax:
Practice Address - Street 1:2200 MORRISS RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3521
Practice Address - Country:US
Practice Address - Phone:972-874-7554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10644111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor