Provider Demographics
NPI:1912186693
Name:WALTON, PATSY T (RPT)
Entity Type:Individual
Prefix:MRS
First Name:PATSY
Middle Name:T
Last Name:WALTON
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 1:1900 CRESTWOOD BLVD
Mailing Address - Street 2:SUITE 95
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35210-2034
Mailing Address - Country:US
Mailing Address - Phone:205-930-0720
Mailing Address - Fax:205-930-9762
Practice Address - Street 1:1900 CRESTWOOD BLVD
Practice Address - Street 2:SUITE 95
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35210-2034
Practice Address - Country:US
Practice Address - Phone:205-930-0720
Practice Address - Fax:205-930-9762
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1545225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist