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General NPI Number Information
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NPI Number | 1922735224
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Entity Type | Individual
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Provider Name | MORIAH RAE WALKER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 10321 CHAMPION FARMS DR
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City | LOUISVILLE
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State | KY
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Zip | 40241-6129
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Country | US
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Telephone | 502-425-1716
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Fax |
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Provider Business Mailing Address
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Address Line | 4326 BOWLING BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40207-5403
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Country | US
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Telephone | 502-648-5928
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008601
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License Number State | KY
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