Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WALLACE EDGAR CRESSWELL, P.T.
Active Sole ProprietorMR. WALLACE EDGAR CRESSWELL, P.T. is a Physical Therapy Assistant healthcare provider located in GRENADA, Mississippi. NPI 1740574532 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRENADA, MS
Registration Details
- NPI Number
- 1740574532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2011 (15.155966150729 yrs)
- Last Updated
- Jun 9, 2011
- License
-
PT0438 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1855 HILL DRGRENADA, MS, 389015003Browse MS providers · Browse ZIP 38901
- Phone
- 6628093339
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRENADA, MS
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES EDWARD HILL II | B.S.PHYSICAL THERAPY | 1225200280 |
| LACEY S ROSE | — | 1336478791 |
| BENJAMIN CLAYTON EDWARDS | DPT | 1356628622 |
| MR. RANDY YOUNG JR. | PT,DPT | 1346638665 |
| MRS. AMY WILSON MCCARLEY | PT DPT | 1548765548 |
| RONALD J OKABE | PT | 1447715446 |
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.