MR. MICHAEL WALL, PA, ATC, PTA, CEAS

Physician Assistant

Active Individual
NPI: 1386794717

Practice Address

7557 DANNAHER WAY
SUITE 230
Powell, TN 37849

Phone: (865) 938-5222

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X No 3396 (TN)
Specialist/Technologist - Athletic Trainer 2255A2300X No 110102223 (TN)
Physician Assistant 363A00000X Yes PENDING (TN)

Frequently Asked Questions

NPI 1386794717 is the National Provider Identifier for MR. MICHAEL WALL, PA, ATC, PTA, CEAS, a Physician Assistant provider located in Powell, TN. This NPI was enumerated on January 10, 2007.
MR. MICHAEL WALL, PA, ATC, PTA, CEAS practices at 7557 DANNAHER WAY, SUITE 230, Powell, TN 37849.

Quick Facts

NPI
1386794717
Type
Individual
Enumerated
Jan 10, 2007
Last Updated
Jun 14, 2010

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