Individual
MR. JIMMY DALE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1266 MUCKLE BRANCH RD, ETHRIDGE, TN 38456-7011
(931) 424-3374
Mailing address
1266 MUCKLE BRANCH RD, ETHRIDGE, TN 38456-7011
(931) 424-3374
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000001911
TN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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