Michelle Kathryn Wall

Developmental Therapist · Decatur, IL

Individual Active NPI

NPI number 1710635784

Practice location

1360 W Riverview Ave
Decatur, IL 62522-2722
Phone
(217) 853-5348

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NPI record

NPI
1710635784
Entity type
Individual (Type 1)
Enumeration date
March 17, 2022
Last updated
March 17, 2022
Certified
March 17, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

About Michelle Wall

Michelle Kathryn Wall is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 1360 W Riverview Ave, Decatur, IL 62522-2722. The NPI number 1710635784 was assigned on March 17, 2022 and the record was last updated on March 17, 2022.

Frequently asked questions

What is the NPI number of Michelle Kathryn Wall?

The NPI number is 1710635784.

What is the phone number of Michelle Wall?

The phone number listed for the practice location is (217) 853-5348.

Where is Michelle Wall located?

1360 W Riverview Ave, Decatur, IL 62522-2722.

What is the taxonomy code for Michelle Wall?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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