MEDICARE: KARLEEN WALTERS PT

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P18697	OTHER	NC	NC LICENSE

General Provider Information

NPI Number	:	1275188377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLEEN WALTERS PT

Provider Business Mailing Address
First Line	:	50 LIFESTYLE PL STE 130
Second Line	:
City	:	PITTSBORO
State	:	NC
Zip	:	27312-4983
Country	:	US
Telephone Number	:	984-282-3731
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 LIFESTYLE PL STE 130
Second Line	:
City	:	PITTSBORO
State	:	NC
Zip	:	27312-4983
Country	:	US
Telephone Number	:	984-282-3731
Fax Number	:

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

Provider Enumeration Date	:	08/06/2019
Last Update Date	:	06/08/2026

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