Healthcare Provider Details

I. General information

NPI: 1932174810
Provider Name (Legal Business Name): JEFFREY DAVID WALKER D.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 02/28/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 MEDICAL CAMPUS DR
GOLDSBORO, NC 27531 NC
27530
US

IV. Provider business mailing address

102 SHADOWBROOK DR
TUNKHANNOCK PA
18657-6860
US

V. Phone/Fax

Practice location:
  • Phone: 919-722-8310
  • Fax:
Mailing address:
  • Phone: 717-368-7353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number017085
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: