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Individual

MR. KEVIN LEE WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
809 W HARWOOD RD, STE 103, HURST, TX 76054-3289
(817) 283-5252
(817) 283-5283
Mailing address
6101 FOREST RIVER DR, FORT WORTH, TX 76112-1066
(817) 457-0077
(817) 457-8017

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1053353
TX
2251S0007X
Sports Physical Therapist
Primary
1053353
TX
2251X0800X
Orthopedic Physical Therapist
1053353
TX

Other

Enumeration date
06/17/2005
Last updated
09/11/2025
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