Healthcare Provider Details

I. General information

NPI: 1144462375
Provider Name (Legal Business Name): AMBER N WALKER M. P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 12/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 STATE AVE SUITE 101
MARYSVILLE WA
98270-4284
US

IV. Provider business mailing address

4220 132ND ST SE SUITE 101
MILL CREEK WA
98012-8999
US

V. Phone/Fax

Practice location:
  • Phone: 360-386-7405
  • Fax: 360-386-7406
Mailing address:
  • Phone: 425-357-9380
  • Fax: 425-338-9637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3107250
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: