Kacie Jo Walker, P.T.A.

Physical Therapy Assistant · Salem, IL

Individual Active NPI

NPI number 1154568772

Practice location

2600 S Broadway Ave
Salem, IL 62881-3653
Phone
(618) 322-9751

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NPI record

NPI
1154568772
Entity type
Individual (Type 1)
Enumeration date
January 20, 2009
Last updated
January 20, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160.004894 IL

About Kacie Walker

Kacie Jo Walker, P.T.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 2600 S Broadway Ave, Salem, IL 62881-3653. The NPI number 1154568772 was assigned on January 20, 2009 and the record was last updated on January 20, 2009.

Kacie Walker lists a license in the registry: #160.004894 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kacie Jo Walker, P.T.A.?

The NPI number is 1154568772.

What is the phone number of Kacie Walker?

The phone number listed for the practice location is (618) 322-9751.

Where is Kacie Walker located?

2600 S Broadway Ave, Salem, IL 62881-3653.

What is the taxonomy code for Kacie Walker?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.