Individual
NYCOL WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2600 N 20TH AVE, PASCO, WA 99301-4108
(509) 547-0511
Mailing address
1813 HUMMINGBIRD CT, WEST RICHLAND, WA 99353-9542
(509) 967-2060
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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