Individual
AMY L WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3200 RED RIVER ST, SUITE 101, AUSTIN, TX 78705-2660
(512) 476-8857
(512) 482-8199
Mailing address
3200 RED RIVER ST, SUITE 101, AUSTIN, TX 78705-2660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00007914
WA
2251X0800X
Orthopedic Physical Therapist
Primary
1128783
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039585
LABOR AND INDUSTRIES #
WA
01
—
2241WA
BLUE SHIELD #
WA
05
—
8342685
—
WA
01
—
US2596035
AETNA SPECIALIST PIN
WA
Enumeration date
02/02/2007
Last updated
02/22/2008
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