Individual
RICKY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATHLETIC TRAINER
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-9998
Mailing address
3339 TURKEY CREEK RD, DECATUR, MS 39327-8009
(601) 938-5940
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0178
MS
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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