Provider Demographics
NPI:1902018864
Name:WALKER, ANNA (RPT)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2811 DR JOHN HAYNES DR
Mailing Address - Street 2:STE. 104
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-1447
Mailing Address - Country:US
Mailing Address - Phone:205-884-7202
Mailing Address - Fax:
Practice Address - Street 1:2811 DR JOHN HAYNES DR
Practice Address - Street 2:STE. 104
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-1447
Practice Address - Country:US
Practice Address - Phone:205-884-7202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH 2155225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-04741OtherCFI BCBS
AL515-34453OtherMCE BCBS
AL515-38642OtherMCB BCBS
AL510-93979OtherSCR BCBS
AL510-93979OtherSCR BCBS