Whalio Doctors

NPI 1518957133

Crystal L Walton, PACCNP

Practitioner Physical Medicine & Rehabilitation Physician Rapid City, SD

Practice location

Address
1136 Jackson Blvd, Rapid City, SD 57702-4335
Phone
(605) 721-7246
Fax
(605) 341-4501

Registered specialties (3)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 0539 (SD)
Interventional Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 0539 (SD)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0539 (SD)

Registry record

NPI
1518957133
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Oct 2005
Record last updated
10 Jan 2011

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.