Provider Demographics
NPI:1558531798
Name:WALKER, SHEILA (PTA)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9047 EXECUTIVE PARK DR STE 115
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4600
Mailing Address - Country:US
Mailing Address - Phone:865-531-5820
Mailing Address - Fax:865-539-2256
Practice Address - Street 1:9047 EXECUTIVE PARK DR STE 115
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4600
Practice Address - Country:US
Practice Address - Phone:865-531-5820
Practice Address - Fax:865-539-2256
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1863225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant