| Doctor Name: | ANDREW SCOTT WALQUIST |
| NPI Number: | 1174855084 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 1195035 |
| Business Practice Address: | 16838 E Palisades Blvd Bldg B-121 Fountain Hills, AZ - 852683786 |
| Business Phone Number: | 4808372595 |
| Business Fax Number: | 4808372773 |
| Mailing Address: | 9097 E Desert Cove Ave, Suite 110 SCOTTSDALE |
| State: | AZ |
| Postal Code: | 852606710 |
| Phone Number: | 4808604298 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2010 |
| NPI Last Update Date: | 01/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 1195035 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |