Individual
LEAH WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11161
CO
225100000X
Physical Therapist
Primary
5501301958
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11161
STATE LICENSE
CO
Enumeration date
06/24/2011
Last updated
04/14/2023
Update your record
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