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Individual

TRACY MICHELLE WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4810 N PORTWEST ST, WICHITA, KS 67204-2357
(316) 633-3294
Mailing address
2523 7000 RD, OSWEGO, KS 67356-8723
(620) 423-4957

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02822
KS

Other

Enumeration date
11/17/2025
Last updated
11/17/2025
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