Individual
MRS. RACHAEL RENEE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1689 KELLY RIDGE RD, LANCASTER, KY 40444-8618
(859) 792-8802
Mailing address
PO BOX 109, LANCASTER, KY 40444-0109
(859) 792-8802
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201130527
KY
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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