Individual
MRS. NICOLE LINN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
5520 NORTH EAGLE ROAD, SUITE 102, BOISE, ID 83713-0998
(208) 938-5255
(208) 938-5545
Mailing address
1560 S CAROL ST, MERIDIAN, ID 83646-1839
(208) 288-1155
(208) 288-0424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT-1887
ID
225100000X
Physical Therapist
Primary
PT-1887
ID
Other
Enumeration date
10/02/2006
Last updated
04/04/2013
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