MEDICARE: NICOLE LEIGH WALTHER 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	303125	CA

General Provider Information

NPI Number	:	1174236814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE LEIGH WALTHER DPT

Provider Business Mailing Address
First Line	:	701 W CENTER AVE
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93291-6015
Country	:	US
Telephone Number	:	559-713-6806
Fax Number	:

Provider Business Practice Location Address
First Line	:	1870 S CENTRAL ST
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93277-4418
Country	:	US
Telephone Number	:	559-782-1501
Fax Number	:	559-782-8528

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

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	01/21/2026

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Directions to “ NICOLE LEIGH WALTHER DPT” Practice Location

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