Most Relevant Information
Provider Data
| NPI Number: | 1003831249 |
| Provider Name: | MATTHEW LYLE WALKER MPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT1718 |
Most Important Dates
| Enumeration Date: | 07/12/2006 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
2321 E GALA ST
SUITE 1
MERIDIAN
ID
836424881
Practice Location Phone/Fax
| Phone: | 2088884321 |
| Fax: | 2088958747 |
Provider Mailing Location
2321 E GALA ST
SUITE 1
MERIDIAN
ID
836424881
Provider Mailing Phone/Fax
| Phone: | 2088884321 |
| Fax: | 2088958747 |