Individual
DR. JACOB RYAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
7060 N DURANGO DR STE 130, LAS VEGAS, NV 89149-4605
(702) 826-5749
(702) 273-3015
Mailing address
10117 STAGS LEAP DR, MECHANICSVILLE, VA 23116-6221
(804) 971-2041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305213694
VA
225100000X
Physical Therapist
Primary
299190
CA
Other
Enumeration date
09/24/2020
Last updated
12/08/2022
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