Basic Information
| Provider Information | |||||||||
| NPI: | 1235553991 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WALKER | ||||||||
| FirstName: | SANDI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 HOSPITAL DR | ||||||||
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| City: | MADISONVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 424311644 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1010 MEDICAL CENTER DR | ||||||||
| Address2: | |||||||||
| City: | POWDERLY | ||||||||
| State: | KY | ||||||||
| PostalCode: | 423675463 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2703771600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2014 | ||||||||
| LastUpdateDate: | 11/13/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 004074 | KY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.