NPI 1053160424

Cheyenne Loren Walker, PTA

Practitioner Physical Therapy Assistant Carbondale, IL

Practice location

Address: 120 N Tower Rd, Carbondale, IL 62901-1929
Phone: (618) 549-3355
Mailing address: 830 Webb Town Rd, Tunnel Hill, IL 62972-3024

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160010127 (IL)

Other Physical Therapy Assistant providers in Illinois →

Registry record

NPI: 1053160424
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2024
Record last updated: 16 May 2024

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.