Payton B Wall, PT,DPT
Physical Therapist in Decatur, TX. Individual provider (NPI-1).
NPI number1619709326
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1619709326
- Entity type
- Individual (NPI-1)
- Name
- Payton B Wall
- Credential
- PT,DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2024
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1399049 | TX | Yes |
Practice location
609 Medical Center DrDecatur, TX 76234-3836
Phone 940-627-5921
Mailing address
133 Single Tree RdDecatur, TX 76234-1850
Phone 254-485-1657
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