Most Relevant Information
Provider Data
| NPI Number: | 1003419318 |
| Provider Name: | KARLIE D WALKUP MS, LAT, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | ATR-009444 |
Most Important Dates
| Enumeration Date: | 11/18/2020 |
| Last Updated: | 01/30/2024 |
Provider Practice Location
13055 W MCDOWELL RD STE G107
AVONDALE
AZ
853926450
Practice Location Phone/Fax
| Phone: | 9165991114 |
| Fax: |
Provider Mailing Location
8203 W ORAIBI DR APT 1110
PEORIA
AZ
853824690
Provider Mailing Phone/Fax
| Phone: | 9165991114 |
| Fax: |