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

Genelle Mull, PTA

Individual provider Physical Therapy Assistant · NPI 1891350054

Genelle Mull, PTA is a Physical Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2019.

Licensed in
IN
In the registry since
2019
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

1717 Maplecrest Rd
Fort Wayne, IN 46815-7656
Phone: (877) 712-7869
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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 06004577A (IN)

Record details

NPI number1891350054
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 3, 2019
Last updated in NPPESMay 3, 2019
Mailing address21778 Road 17s, Columbus Grove, OH 45830-9286

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