=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336069376
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WALKER HARDIN DPT
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/20/2026
-----------------------------------------------------
Last Update Date | 07/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2625 COURTHOUSE CIR
-----------------------------------------------------
City | FLOWOOD
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39232-9521
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 769-208-3190
-----------------------------------------------------
Fax | 769-208-3191
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2862
-----------------------------------------------------
City | TUSCALOOSA
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35403-2862
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-409-8060
-----------------------------------------------------
Fax | 205-737-8841
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PT7948
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------