Individual
MRS. LATASHA ANNETTE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2024 W VAN HOOK ST, MILAN, TN 38358-2640
(731) 414-2160
Mailing address
2024 W VAN HOOK ST, MILAN, TN 38358-2640
(731) 414-2160
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
117430
TN
332BC3200X
Customized Equipment (DME)
Primary
117430
TN
Other
Enumeration date
12/20/2025
Last updated
02/09/2026
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