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NPI Code Detail

MEDICARE: WILLIAM SCOTT WALL PT

MEDICARE: WILLIAM SCOTT WALL PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist1281NV

General Provider Information

NPI Number : 1346234218
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM SCOTT WALL PT
Provider Business Mailing Address
First Line : 5310 KIETZKE LN STE 104
Second Line :
City : RENO
State : NV
Zip : 89511-2043
Country : US
Telephone Number : 775-348-8800
Fax Number : 833-687-1419
Provider Business Practice Location Address
First Line : 1749 N STEWART ST STE 50
Second Line :
City : CARSON CITY
State : NV
Zip : 89706-2574
Country : US
Telephone Number : 775-348-8800
Fax Number : 833-687-1419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 02/11/2026

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