MR. Michael Dwayne Wall, PA, ATC, PTA, CEAS
NPI #1386794717 in Powell, Tennessee
Provider Information
- NPI Number
- 1386794717
- Entity Type
- Individual
- Name
- MR. Michael Dwayne Wall, PA, ATC, PTA, CEAS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA, ATC, PTA, CEAS
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jun 14, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physician Assistant |
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