Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH WALL
ActiveKENNETH WALL is a Physical Therapy Assistant healthcare provider located in DURAND, Michigan. NPI 1710475397 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DURAND, MI
Registration Details
- NPI Number
- 1710475397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2018 (8.1129297606428 yrs)
- Last Updated
- Apr 29, 2018
- License
-
5501017586 (MI)
Practice Information
- Address
-
8750 MONROE RDDURAND, MI, 484291000Browse MI providers · Browse ZIP 48429
- Phone
- 9892883166
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in DURAND, MI
| Name | Credential | NPI |
|---|---|---|
| JEANETTE M GOMOS | P.T. | 1902082944 |
| MRS. INGRID G COLE | P.T. | 1568776755 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.