Traci Walk
Physical Therapy Assistant in Dieterich, IL. Individual provider (NPI-1).
NPI number1346694841
StatusActive
Last updated in NPPESApr 20, 2016
Details
- NPI
- 1346694841
- Entity type
- Individual (NPI-1)
- Name
- Traci Walk
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2016
- Last updated
- Apr 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160006981 | IL | Yes |
Practice location
20379 E 1100th AveDieterich, IL 62424-2114
Phone 217-663-2876
Mailing address
20379 E 1100th AveDieterich, IL 62424-2114
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Dieterich, IL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.