Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DUSTYN SLADE LEE WALTON, PT, DPT, ATC
ActiveDR. DUSTYN SLADE LEE WALTON, PT, DPT, ATC is a Environmental Modification (OT) healthcare provider located in POCATELLO, Idaho. NPI 1164189080 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · POCATELLO, ID
Registration Details
- NPI Number
- 1164189080
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 27, 2021 (4.6762824493224 yrs)
- Last Updated
- Jan 30, 2025
- License
-
LAT-5681 (NC)
Practice Information
- Address
-
921 S 8TH AVEPOCATELLO, ID, 832090002Browse ID providers · Browse ZIP 83209
- Phone
- 3076965885
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Environmental Modification (OT)
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.