Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal W Wall, PTA

Individual provider Physical Therapy Assistant · NPI 1750046918

Crystal W Wall, PTA is a Physical Therapy Assistant in Crystal Springs, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

117 Bo Bo Dr
Crystal Springs, MS 39059-2741
Phone: (601) 892-6330
Fax: (601) 892-6331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA5277 (MS)

Record details

NPI number1750046918
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

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