Provider Demographics
NPI:1154593820
Name:WALKER, ALESHA PHILLIPS (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALESHA
Middle Name:PHILLIPS
Last Name:WALKER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALESHA
Other - Middle Name:GAYLE
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4915
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:151 FLY CREEK AVE
Practice Address - Street 2:STE 438
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-8307
Practice Address - Country:US
Practice Address - Phone:251-928-9619
Practice Address - Fax:251-928-9621
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH7528225100000X
GAPT9285225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4895Medicare Oscar/Certification