Provider Demographics
NPI:1194456681
Name:WALKING EAGLE MOBILITY CONSULTANTS
Entity Type:Organization
Organization Name:WALKING EAGLE MOBILITY CONSULTANTS
Other - Org Name:WALKING EAGLE MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ATP
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:COLE
Authorized Official - Last Name:WALKING EAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:509-386-5935
Mailing Address - Street 1:27 NE TREMONT DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-1150
Mailing Address - Country:US
Mailing Address - Phone:509-386-5935
Mailing Address - Fax:
Practice Address - Street 1:1105 W POPLAR ST APT C
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2970
Practice Address - Country:US
Practice Address - Phone:509-386-5935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies