IndividualActive
Anthony Walin, PTA
NPI 1760145312 · Physical Therapy Assistant · Medford, OR
Provider details
- NPI number
- 1760145312
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9881 (OR)
Mailing address
2895 N Myrtle Rd
Myrtle Creek, OR 97457-9660
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2021-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.