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NPI Code Detail

MEDICARE: WALTER AMIEYE AMAPAKABO

MEDICARE: WALTER AMIEYE AMAPAKABO
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
1225100000XPhysical TherapistPT018270GA

General Provider Information

NPI Number : 1871423061
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER AMIEYE AMAPAKABO
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number :
Provider Business Practice Location Address
First Line : 1820 HIGHWAY 20 SE STE 160
Second Line :
City : CONYERS
State : GA
Zip : 30013-2080
Country : US
Telephone Number : 770-929-8872
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ WALTER AMIEYE AMAPAKABO ” Practice Location

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