Individual
MR. JACKSON RYAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
530 SHADOWS LN, BATON ROUGE, LA 70806
(225) 927-9185
(225) 231-3833
Mailing address
530 SHADOWS LN, BATON ROUGE, LA 70806-6530
(225) 927-9185
(225) 231-3833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08809
LA
Other
Enumeration date
07/31/2014
Last updated
07/18/2018
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