Provider Demographics
NPI:1871476143
Name:WALKER, SAVANNAH RAE (PT, DPT)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:RAE
Last Name:WALKER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 GERMANIA RD
Mailing Address - Street 2:
Mailing Address - City:SNOVER
Mailing Address - State:MI
Mailing Address - Zip Code:48472-9366
Mailing Address - Country:US
Mailing Address - Phone:810-837-3280
Mailing Address - Fax:
Practice Address - Street 1:1186 CLEAVER RD
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-1150
Practice Address - Country:US
Practice Address - Phone:989-673-4999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501303682261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy