Healthcare Provider Details

I. General information

NPI: 1376400531
Provider Name (Legal Business Name): CAROLYN WALKER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 TAYLOR DR
TAYLOR MS
38673-9507
US

IV. Provider business mailing address

225 TAYLOR DR
TAYLOR MS
38673-9507
US

V. Phone/Fax

Practice location:
  • Phone: 901-351-5462
  • Fax: 901-351-5462
Mailing address:
  • Phone: 901-351-5462
  • Fax: 901-351-5462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROLYN HILL WALKER
Title or Position: OWNER/PT
Credential: DPT, OCS
Phone: 901-351-5462