Dalton Walker

Physical Therapy Assistant · Pembroke, GA

Individual Active NPI

NPI number 1194412247

Practice location

105 E Bacon St
Pembroke, GA 31321-4750
Phone
(912) 653-0040

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NPI record

NPI
1194412247
Entity type
Individual (Type 1)
Enumeration date
April 19, 2023
Last updated
April 19, 2023
Certified
April 19, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA4477 GA

Mailing address

116 Greenbriar Trl
Ellabell, GA 31308-4747

About Dalton Walker

Dalton Walker is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 105 E Bacon St, Pembroke, GA 31321-4750. The NPI number 1194412247 was assigned on April 19, 2023 and the record was last updated on April 19, 2023.

Dalton Walker lists a license in the registry: #PTA4477 (GA) 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 Dalton Walker?

The NPI number is 1194412247.

What is the phone number of Dalton Walker?

The phone number listed for the practice location is (912) 653-0040.

Where is Dalton Walker located?

105 E Bacon St, Pembroke, GA 31321-4750.

What is the taxonomy code for Dalton 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.