# CHAD WALTERS DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neuro Rehab Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154684785
- **Authorized official:** POLLY L PURCELL D.O. (PARTNER)
- **Authorized official phone:** (502) 491-9590

## Contact information

- **Practice address:** 4400 BRECKENRIDGE LN, STE 124, LOUISVILLE, KY 40218-4135
- **Practice address phone:** (502) 491-9590
- **Practice address fax:** (502) 491-9592
- **Mailing address:** 4400 BRECKENRIDGE LN STE 124, LOUISVILLE, KY 40218-4136
- **Mailing address phone:** (502) 491-9590
- **Mailing address fax:** (502) 491-9592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 03009 | KY | Yes |

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 09/27/2025
