Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE BRADLEY WALL, PT
ActiveSHANE BRADLEY WALL, PT is a Physical Therapy Assistant healthcare provider located in DE LEON, Texas. NPI 1992287619 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DE LEON, TX
Registration Details
- NPI Number
- 1992287619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2018 (7.9476048610847 yrs)
- Last Updated
- Sep 4, 2020
- License
-
1125359 (TX)
Practice Information
- Address
-
400 S HOUSTON STDE LEON, TX, 764441928Browse TX providers · Browse ZIP 76444
- Phone
- 2548932015
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in DE LEON, TX
| Name | Credential | NPI |
|---|---|---|
| MR. BRADFORD A BETTIS | PT | 1639243405 |
| MRS. RANA LORENE ZOCH | PT | 1548476559 |
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.