Individual
MRS. LISA DAWN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1205 E 900 S, SPRINGVILLE, UT 84663-2314
(801) 376-4954
Mailing address
1224 OLD WILLOW LN, PROVO, UT 84604-3649
(801) 373-3713
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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