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NPI Code Detail

MEDICARE: STORM EMERY WALLING PT, DPT

MEDICARE: STORM EMERY WALLING PT, DPT
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
1225200000XPhysical Therapy Assistant06005862AIN
2225100000XPhysical Therapist05016284AIN

General Provider Information

NPI Number : 1447728639
Entity Type Code : Individual
Provider Name (Legal Business Name) : STORM EMERY WALLING PT, DPT
Provider Business Mailing Address
First Line : 750 CHESTER BLVD
Second Line :
City : RICHMOND
State : IN
Zip : 47374-1900
Country : US
Telephone Number : 765-939-0820
Fax Number :
Provider Business Practice Location Address
First Line : 750 CHESTER BLVD
Second Line :
City : RICHMOND
State : IN
Zip : 47374-1900
Country : US
Telephone Number : 765-939-0820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2018
Last Update Date : 02/06/2026

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Directions to “ STORM EMERY WALLING PT, DPT” Practice Location

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