Provider Demographics
NPI:1730374182
Name:WALKER, ELIZABETH SPEIGHTS (PTA)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SPEIGHTS
Last Name:WALKER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 OLDE PIONEER TRL
Mailing Address - Street 2:APT. 184
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-6241
Mailing Address - Country:US
Mailing Address - Phone:865-531-7643
Mailing Address - Fax:
Practice Address - Street 1:3131 TOM AUSTIN HIGHWAY
Practice Address - Street 2:INTELLIGENT THERAPY STAFFING
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172
Practice Address - Country:US
Practice Address - Phone:615-386-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4234225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant