Provider Demographics
NPI:1588076467
Name:WALKER, KARMIN
Entity type:Individual
Prefix:
First Name:KARMIN
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 AVENSONG LN UNIT 104
Mailing Address - Street 2:TRACEY LYNN CT
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32408-4969
Mailing Address - Country:US
Mailing Address - Phone:850-763-9331
Mailing Address - Fax:
Practice Address - Street 1:2106 AVENSONG LN UNIT 104
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32408-4969
Practice Address - Country:US
Practice Address - Phone:850-217-9707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA24079225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant