Provider Demographics
NPI:1598958639
Name:WALKER, AMY (MPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 WOODROW BEAN DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-4424
Mailing Address - Country:US
Mailing Address - Phone:915-755-0738
Mailing Address - Fax:915-755-6941
Practice Address - Street 1:4650 WOODROW BEAN DR
Practice Address - Street 2:SUITE G
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4424
Practice Address - Country:US
Practice Address - Phone:915-755-0738
Practice Address - Fax:915-755-6941
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1166167225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist