Nicole Walt, PT, DPT

NPI #1942824685 in Ellis, Kansas

Provider Information

NPI Number: 1942824685
Entity Type: Individual
Name: Nicole Walt, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: May 28, 2020
Last Updated: May 28, 2020

Practice Location

Address: 1101 SPRUCE ST
City: Ellis
State: Kansas
ZIP Code: 67637-1757
Phone: (785) 726-3101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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