Provider Demographics
NPI:1235648049
Name:WALK PERFECT, INC.
Entity Type:Organization
Organization Name:WALK PERFECT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COO, CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SHIPPEE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM, DWC, WCC
Authorized Official - Phone:435-200-5756
Mailing Address - Street 1:1069 S. STEWART DR, SUITE 1
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404
Mailing Address - Country:US
Mailing Address - Phone:435-200-5756
Mailing Address - Fax:
Practice Address - Street 1:1069 S. STEWART DR, SUITE 1
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84404
Practice Address - Country:US
Practice Address - Phone:435-200-5756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT373091-0501213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty