Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMY DALE WALKER
Active Sole ProprietorMR. JIMMY DALE WALKER is a Occupational Therapist healthcare provider located in ETHRIDGE, Tennessee. NPI 1831263607 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ETHRIDGE, TN
Registration Details
- NPI Number
- 1831263607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.549572601952 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PTA0000001911 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1266 MUCKLE BRANCH RDETHRIDGE, TN, 384567011Browse TN providers · Browse ZIP 38456
- Phone
- 9314243374
- Primary Specialty
-
Occupational Therapist
225200000X
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.