| Doctor Name: | MR. WALTER KOLD |
| NPI Number: | 1336187012 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 411 N Randall Rd Lake In The Hills, IL - 601566335 |
| Business Phone Number: | 8478549754 |
| Business Fax Number: | 8476588185 |
| Mailing Address: | 5n201 Shady Oaks Ct, ST CHARLES |
| State: | IL |
| Postal Code: | 601758557 |
| Phone Number: | 6305842254 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |