Individual
CATHY A WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CSCS
Contact information
Practice address
532 OSUNA RD NE, ALBUQUERQUE, NM 87113
(505) 250-3959
Mailing address
10827 VEGA VISTA DR NW, ALBUQUERQUE, NM 87114
(505) 250-3959
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
134
NM
Other
Enumeration date
04/09/2016
Last updated
05/07/2019
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