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NPI Code Detail

MEDICARE: CAITLIN WALTON PT, DPT

MEDICARE: CAITLIN WALTON PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistCP054313TKY
2225100000XPhysical TherapistPT015757GA

General Provider Information

NPI Number : 1902511843
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN WALTON PT, DPT
Provider Business Mailing Address
First Line : 2400 WISTERIA DR STE A
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-2689
Country : US
Telephone Number : 770-982-0102
Fax Number : 770-982-0102
Provider Business Practice Location Address
First Line : 2400 WISTERIA DR STE A
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-2689
Country : US
Telephone Number : 770-982-0102
Fax Number : 770-982-0102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2023
Last Update Date : 04/06/2026

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