NPI 1023526050

Jennifer Walters, MALATATC

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Flora, IN

Practice location

Address: 2362 E State Road 18, Flora, IN 46929-8201
Phone: (574) 967-5100
Mailing address: 5155 Saddle Dr, Lafayette, IN 47905-7698

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 36001786A (IN)

Other Physical Medicine & Rehabilitation providers in Indiana →

Registry record

NPI: 1023526050
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2018
Record last updated: 11 Jan 2018

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.