NPI 1003442773

Vicki Lynne Walter, PTA

Practitioner Physical Therapy Assistant Tyler, TX

Practice location

Address: 701 Olympic Plaza Cir, Tyler, TX 75701-1950
Phone: (903) 596-3119
Fax: (903) 596-3122
Mailing address: 4231 Stonebrook Ln, Tyler, TX 75707-5475

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2032191 (TX)

Other Physical Therapy Assistant providers in Texas →

Registry record

NPI: 1003442773
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2020
Record last updated: 13 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.