Provider Demographics
NPI:1912678186
Name:WALKER RUN PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:WALKER RUN PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:402-216-5340
Mailing Address - Street 1:3868 DICKERSON PIKE STE 104
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-1313
Mailing Address - Country:US
Mailing Address - Phone:615-651-8659
Mailing Address - Fax:
Practice Address - Street 1:3868 DICKERSON PIKE STE 104
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-1313
Practice Address - Country:US
Practice Address - Phone:615-651-8659
Practice Address - Fax:615-651-8665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy