Doctor Name: | MRS. LEAH WELCH WALTERS |
NPI Number: | 1780700112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T |
License Number: | 5501008430 |
Business Practice Address: | 1423 W Centre Ave Portage, MI - 490245351 |
Business Phone Number: | 2693234300 |
Business Fax Number: | 2693234449 |
Mailing Address: | 5581 Bobwhite Ave, KALAMAZOO |
State: | MI |
Postal Code: | 490094593 |
Phone Number: | 2693753404 |
Fax Number: | 2693234449 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501008430 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |