MEDICARE: MAEGAN CONROY WALKER

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	6255	NV

General Provider Information

NPI Number	:	1831977404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAEGAN CONROY WALKER

Provider Business Mailing Address
First Line	:	7112 STOCKTON DUNES ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-4063
Country	:	US
Telephone Number	:	806-281-3774
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 NATURE PARK DR STE 250
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-3206
Country	:	US
Telephone Number	:	702-859-4710
Fax Number	:	702-859-4711

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

Provider Enumeration Date	:	09/15/2023
Last Update Date	:	09/15/2023

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Directions to “ MAEGAN CONROY WALKER ” Practice Location

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