Healthcare Provider Details

I. General information

NPI: 1912812199
Provider Name (Legal Business Name): KAILEY RACHEL WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 MALL LOOP RD
HIGH POINT NC
27262-7656
US

IV. Provider business mailing address

1236 SCARLETT DR
HIGH POINT NC
27265-9257
US

V. Phone/Fax

Practice location:
  • Phone: 336-781-4320
  • Fax: 336-781-4321
Mailing address:
  • Phone: 336-202-9414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24980
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: