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

Theodore Laurence Walker, PRSS

Individual provider Peer Specialist · NPI 1518773142

Theodore Laurence Walker, PRSS is a Peer Specialist in Ravenna, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

223 W Main St
Ravenna, OH 44266-2741
Phone: (330) 577-4099
Fax: (844) 274-3002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.005855 (OH)

Record details

NPI number1518773142
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing address223 W Main St, Ravenna, OH 44266-2741

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