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

Eric Douglas Waller, PTA

Individual provider Physical Therapy Assistant · NPI 1134841042

Eric Douglas Waller, PTA is a Physical Therapy Assistant in Mount Pleasant, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
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

1620 S Mission St Ste O
Mount Pleasant, MI 48858-4466
Phone: (989) 282-0320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502000667 (MI)

Record details

NPI number1134841042
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 16, 2022
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022
Mailing address7603 8th St, Stanwood, MI 49346-9664

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