Healthcare Provider Details

I. General information

NPI: 1952224115
Provider Name (Legal Business Name): HANNAH KATHLEEN WALKER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 DOCUMENT DR
SAINT LOUIS MO
63114-6100
US

IV. Provider business mailing address

789 CROSS CREEK DR APT D
CREVE COEUR MO
63141-6584
US

V. Phone/Fax

Practice location:
  • Phone: 314-970-9115
  • Fax: 314-970-9117
Mailing address:
  • Phone: 859-907-4432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number2026031471
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: