Shane Bradley Wall, PT
Shane Bradley Wall, PT is a Physical Therapist in Private Practice in De Leon, Texas. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 29
- Licensed in
- TX
- In the registry since
- 2018
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
400 S Houston StDe Leon, TX 76444-1928
Phone: (254) 893-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 1125359 (TX) |
|---|
Record details
| NPI number | 1992287619 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | August 29, 2018 |
| Last updated in NPPES | September 4, 2020 |
| Certification date | September 4, 2020 |
| Mailing address | 400 S Houston St., De Leon, TX 76444 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in De Leon
-
At Home Physical Therapy PLLC
836 E Reynosa Ave, De Leon, TX 76444-2029 · (254) 734-5421
-
Mr. Bradford A Bettis, PT
Comanche Physical Therapy Services Inc 400 South Houston, De Leon, TX 76444 · (254) 893-2015
-
Mrs. Rana Lorene Zoch, PT
400 S Houston St, De Leon, TX 76444 · (254) 893-2015