Organization
WALKER PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHARLES WALKER PHD, PT (PRESIDENT/OWNER)
(801) 787-0484
Entity
Organization
Contact information
Practice address
655 EAST 400 SOUTH, SUITE G, SPRINGVILLE, UT 84663
(801) 787-0484
Mailing address
1644 E 900 S, SPRINGVILLE, UT 84663-9539
(801) 787-0484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
114536-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528941664046
—
UT
Enumeration date
04/02/2008
Last updated
04/02/2008
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