Kacie Jo Walker, P.T.A.

NPI #1154568772 in Salem, Illinois

Provider Information

NPI Number: 1154568772
Entity Type: Individual
Name: Kacie Jo Walker, P.T.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: Jan 20, 2009
Last Updated: Jan 20, 2009

Practice Location

Address: 2600 S BROADWAY AVE
City: Salem
State: Illinois
ZIP Code: 62881-3653
Phone: (618) 322-9751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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