Katlyn A Walker

Individual provider Active NPI Occupational Therapist · Arlington, TN

NPI 1013500628 · NPPES record last updated Feb 15, 2021

Key facts

NPI
1013500628
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6742 (TN)
Practice address
9263 Osborn Rd
Arlington, TN 38002-5922
Phone
(901) 496-1057
Fax
(901) 829-2304
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6742TNMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Courageous Kids, LLC Past
since Feb 21, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6742 TN Yes

Addresses

Primary practice location

9263 Osborn Rd
Arlington, TN 38002-5922

Mailing address

9263 Osborn Rd
Arlington, TN 38002-5922
Phone (901) 496-1057

Other providers in Arlington, TN

All providers in Arlington, TN · Occupational Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.