Provider Demographics
NPI:1871689448
Name:WALKER, MARIA MICHELLE (PT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:MICHELLE
Last Name:WALKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:MICHELLE
Other - Last Name:AUSTRIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:IN
Mailing Address - Zip Code:47443-0247
Mailing Address - Country:US
Mailing Address - Phone:812-659-1440
Mailing Address - Fax:812-659-9995
Practice Address - Street 1:LYONS HEALTH AND LIVING CENTER
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:IN
Practice Address - Zip Code:47443-0247
Practice Address - Country:US
Practice Address - Phone:812-659-1440
Practice Address - Fax:812-659-9995
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008863A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist