MEDICARE: MARIA MICHELLE WALKER 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	05008863A	IN

General Provider Information

NPI Number	:	1871689448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA MICHELLE WALKER PT

Provider Business Mailing Address
First Line	:	PO BOX 247
Second Line	:
City	:	LYONS
State	:	IN
Zip	:	47443-0247
Country	:	US
Telephone Number	:	812-659-1440
Fax Number	:	812-659-9995

Provider Business Practice Location Address
First Line	:	LYONS HEALTH AND LIVING CENTER
Second Line	:
City	:	LYONS
State	:	IN
Zip	:	47443-0247
Country	:	US
Telephone Number	:	812-659-1440
Fax Number	:	812-659-9995

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	10/26/2021

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Directions to “ MARIA MICHELLE WALKER PT” Practice Location

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