Individual provider · Type 1 NPI

Michael Dwayne Wall, PA, ATC, PTA, CEAS

Physician Assistant · Powell, TN

NPI number 1386794717 Active

Practice location

7557 Dannaher Way, Suite 230
Powell, TN 37849-3558

Call (865) 938-5222 Map

Fax (865) 938-5264

Mailing address

217 John Bouldin Dr
Maryville, TN 37801-1902

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X3396 (TN)
Athletic Trainer 2255A2300X110102223 (TN)
Physician Assistant Primary 363A00000XPENDING (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386794717

Michael Dwayne Wall, PA, ATC, PTA, CEAS's National Provider Identifier is 1386794717, issued on Jan 10, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Powell, TN. The record was last updated on Jun 14, 2010.