NPI 1104285451

Tegan Walters, PTA

Practitioner Physical Therapy Assistant Canon City, CO

Practice location

Address: 722 S 8th St, Canon City, CO 81212-4906
Phone: (719) 345-4097

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA0013440 (CO)

Other Physical Therapy Assistant providers in Colorado →

Registry record

NPI: 1104285451
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2016
Record last updated: 15 Feb 2016

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.