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

Mr. Kevin Wall, LPTA

Individual provider Physical Therapy Assistant · NPI 1710135199

Mr. Kevin Wall, LPTA is a Physical Therapy Assistant in Maryville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2008
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Practice location Address checks out

307 N 5th St
Maryville, TN 37804-2921
Phone: (865) 983-0261
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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 2300 (TN)

Record details

NPI number1710135199
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorYes
NPI enumeratedAugust 28, 2008
Last updated in NPPESAugust 28, 2008

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