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Individual

STORM EMERY WALLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
750 CHESTER BLVD, RICHMOND, IN 47374-1900
(765) 939-0820
Mailing address
750 CHESTER BLVD, RICHMOND, IN 47374-1900
(765) 939-0820

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05016284A
IN
225200000X
Physical Therapy Assistant
06005862A
IN

Other

Enumeration date
11/06/2018
Last updated
02/06/2026
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