Healthcare Provider Details

I. General information

NPI: 1225226087
Provider Name (Legal Business Name): CYNTHIA L WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALTERNATIVE HEALTH ASSOCIATES CKP

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2422 JUAN TABO BLVD NE
ALBUQUERQUE NM
87112-1818
US

IV. Provider business mailing address

2422 JUAN TABO BLVD NE
ALBUQUERQUE NM
87112-1818
US

V. Phone/Fax

Practice location:
  • Phone: 505-299-8833
  • Fax: 505-299-1101
Mailing address:
  • Phone: 505-299-8833
  • Fax: 505-299-1101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: