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Individual

EMILY ROSE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(726) 780-2175
Mailing address
920 TWIN BRIDGES RD APT 49, ALEXANDRIA, LA 71303-2071
(318) 451-7848

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
337856
LA
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/01/2022
Last updated
04/29/2026
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