Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kellie Anne Walter, LPTA

Individual provider Physical Therapy Assistant · NPI 1164919932

Mrs. Kellie Anne Walter, LPTA is a Physical Therapy Assistant in Centreville, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
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Practice location Address checks out

6201 Centreville Rd Ste 600
Centreville, VA 20121-2634
Phone: (703) 435-6604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306602825 (VA)

Record details

NPI number1164919932
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorYes
NPI enumeratedApril 17, 2018
Last updated in NPPESApril 17, 2018

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