| Doctor Name: | MR. KEVIN LEE WALTERS |
| NPI Number: | 1134124985 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 1053353 |
| Business Practice Address: | 809 W Harwood Rd Ste 103 Hurst, TX - 760543289 |
| Business Phone Number: | 8172835252 |
| Business Fax Number: | 8172835283 |
| Mailing Address: | 6101 Forest River Dr, FORT WORTH |
| State: | TX |
| Postal Code: | 761121066 |
| Phone Number: | 8174570077 |
| Fax Number: | 8174578017 |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1053353 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |