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MICHAEL WALL, PA, ATC, PTA, CEAS
PA, ATC, PTA, CEAS
Physician Assistant
NPI: 1386794717IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical Therapy Assistant
Physical Therapy Assistant
Code: 225200000X
3396(TN)
Athletic Trainer
Specialist/Technologist — Athletic Trainer
Code: 2255A2300X
110102223(TN)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PENDING(TN)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2009
Contact & Hours
- Address
- 7557 DANNAHER WAY, SUITE 230
POWELL, TN 37849 - Phone
- (865) 938-5222
Quick Facts
- NPI
- 1386794717
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 17
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