Provider Demographics
NPI:1497013171
Name:WALKER, REBECCA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MARIE
Last Name:WALKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:ALGONA
Mailing Address - State:IA
Mailing Address - Zip Code:50511-0339
Mailing Address - Country:US
Mailing Address - Phone:515-200-0020
Mailing Address - Fax:515-200-0022
Practice Address - Street 1:605 E STATE ST
Practice Address - Street 2:
Practice Address - City:ALGONA
Practice Address - State:IA
Practice Address - Zip Code:50511-2821
Practice Address - Country:US
Practice Address - Phone:515-200-0020
Practice Address - Fax:515-200-0022
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5668111N00000X
IA007544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor