Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE KATHRYN WALL
Active Sole ProprietorMICHELLE KATHRYN WALL is a Developmental Therapist healthcare provider located in DECATUR, Illinois. NPI 1710635784 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · DECATUR, IL
Registration Details
- NPI Number
- 1710635784
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2022 (4.2290607064618 yrs)
- Last Updated
- Mar 17, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1360 W RIVERVIEW AVEDECATUR, IL, 625222722Browse IL providers · Browse ZIP 62522
- Phone
- 2178535348
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| DENA CEARLOCK | — | 1124140983 |
| DIANE DUNN | — | 1942322714 |
| KRISTA GERHARDT | — | 1538281191 |
| MRS. DIANE RENE' RAGER | B.S. | 1548481930 |
| MR. KRISTINA LINDA SOMMER | — | 1417145020 |
| MS. BARBARA ANN ROSS | — | 1124207121 |
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.