| NPI | 1902818057 |
|---|---|
| Other Name | TOM F WALKER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA A160047329) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: WA 0101189) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2014-07-24 |