Healthcare Provider Details

I. General information

NPI: 1619035300
Provider Name (Legal Business Name): TODD B WALTERS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 S MCKENZIE ST STE 4
FOLEY AL
36535-1746
US

IV. Provider business mailing address

2130 BOURBON ST
FOLEY AL
36535-2463
US

V. Phone/Fax

Practice location:
  • Phone: 251-201-9242
  • Fax: 251-943-6876
Mailing address:
  • Phone: 251-201-9242
  • Fax: 251-943-6876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2478
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: