Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Sally Jo Walter, LSA

Individual provider Surgical Assistant · NPI 1477632321

Sally Jo Walter, LSA is a Surgical Assistant in Austin, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
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Practice location Address checks out

4729 Tello Path
Austin, TX 78749-1135
Phone: (512) 470-4023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00311 (TX)

Record details

NPI number1477632321
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSA
Sole proprietorYes
NPI enumeratedNovember 3, 2006
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026

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