IndividualActive
Audie Walters, PTA
NPI 1619821261 · Physical Therapist · Willimantic, CT
Provider details
- NPI number
- 1619821261
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 2454 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
595 Valley St
Willimantic, CT 06226-1901
Phone: (860) 450-7060
Approximate (ZIP-level) locationGet directions
Mailing address
195 Fitchville Rd Apt 3
Bozrah, CT 06334-1125
Registry dates
- Enumerated
- 2026-02-23
- Last updated
- 2026-02-23
- Certified
- 2026-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.