MEDICARE: DR. CHELSEA WALTER PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT015520	OH

General Provider Information

NPI Number	:	1144696543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHELSEA WALTER PT, DPT

Provider Business Mailing Address
First Line	:	8044 MONTGOMERY RD STE 160
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2924
Country	:	US
Telephone Number	:	937-684-6541
Fax Number	:

Provider Business Practice Location Address
First Line	:	8044 MONTGOMERY RD STE 160
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2924
Country	:	US
Telephone Number	:	937-684-6541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	12/09/2020

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