Provider Demographics
NPI:1386830560
Name:WALKER, CURTIS HUGH (PT)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:HUGH
Last Name:WALKER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 MARK DR
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-9049
Mailing Address - Country:US
Mailing Address - Phone:318-455-4931
Mailing Address - Fax:
Practice Address - Street 1:211 E STADIUM
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-2032
Practice Address - Country:US
Practice Address - Phone:870-234-7604
Practice Address - Fax:870-234-6669
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT3030225100000X
LA05229R225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5A574OtherBLUE CROSS BLUE SHIELD
AR5A574OtherBLUE CROSS BLUE SHIELD