Mr. Michael Dwayne Wall, PA, ATC, PTA, CEAS
Mr. Michael Dwayne Wall, PA, ATC, PTA, CEAS is a Physician Assistant in Powell, Tennessee. Qualified in 2009, 17 years ago. Practices with Champion Physical Therapy LLC Halls, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.
- Years since qualifying
- 17
- Licensed in
- TN
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
7557 Dannaher Way Ste 230Powell, TN 37849-3558
Phone: (865) 938-5222
Fax: (865) 938-5264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PENDING (TN) |
|---|---|
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 3396 (TN) |
| Athletic Trainer | Taxonomy 2255A2300X · Licence 110102223 (TN) |
Record details
| NPI number | 1386794717 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA , ATC , PTA , CEAS |
| Sole proprietor | No |
| NPI enumerated | January 10, 2007 |
| Last updated in NPPES | June 14, 2010 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Champion Physical Therapy Llc Halls — 280 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Powell
-
Josee Camryn Baggett, PTA
309 Gardner Rd, Powell, TN 37849-3418 · (865) 679-2048
-
Sandra Lee Barboza
7565 Dannaher Dr, Powell, TN 37849-4029 · (865) 859-7950
-
Lori A. Woods, PTA
7545 Thunder Ln, Powell, TN 37849-3661 · (865) 362-5398