Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLY WALSTROM, DO
ActiveWALLY WALSTROM, DO is a Sports Medicine healthcare provider located in HAYS, Kansas. NPI 1992067656 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · HAYS, KS
Registration Details
- NPI Number
- 1992067656
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2012 (14.138703425648 yrs)
- Last Updated
- Apr 4, 2022
- Licenses
-
0537903 (KS)0537903 (KS)
Practice Information
- Address
-
2500 CANTERBURY DR STE 112HAYS, KS, 676012257Browse KS providers · Browse ZIP 67601
- Phone
- 7852617599
- Fax
- 7852617548
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.