Wall, Michael Dwayne

Wall, Michael Dwayne is an individual health care provider with primary practice located at 7557 Dannaher Way Suite 230, Powell TN 37849-3558. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wall, Michael Dwayne can be contacted via phone (865) 938-5222.

Contact Information

Primary practice address
7557 Dannaher Way Suite 230 Powell TN 37849-3558
Phone: (865) 938-5222
Fax: (865) 938-5264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3396 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 110102223 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PENDING Tennessee

Profile Details

NPI number 1386794717
LBN Legal business name Wall, Michael Dwayne
Credentials PA, ATC, PTA, CEAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jun 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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