Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER WALTERS, MA, LAT, ATC
Active Sole ProprietorJENNIFER WALTERS, MA, LAT, ATC is a Sports Medicine (PM&R) healthcare provider located in FLORA, Indiana. NPI 1023526050 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · FLORA, IN
Registration Details
- NPI Number
- 1023526050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2018 (8.6303024788792 yrs)
- Last Updated
- Jan 11, 2018
- License
-
36001786A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2362 E STATE ROAD 18FLORA, IN, 469298201Browse IN providers · Browse ZIP 46929
- Phone
- 5749675100
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.