Provider Demographics
NPI:1508532342
Name:WALKER, ASA (DPT, LAT, ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:ASA
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:DPT, LAT, ATC, CSCS
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 687
Mailing Address - Street 2:
Mailing Address - City:DILLSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28725-0687
Mailing Address - Country:US
Mailing Address - Phone:919-632-7100
Mailing Address - Fax:
Practice Address - Street 1:3971 LITTLE SAVANNAH RD
Practice Address - Street 2:SUITE 113
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723
Practice Address - Country:US
Practice Address - Phone:828-293-5174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist