MR. CHARLES DUANE WALTHALL PTA
NPI 1205289139
Specialist in Denver, CO

Active since July 15, 2016
5353 E YALE AVE, DENVER, CO 80222(303) 757-1209 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Charles Duane Walthall Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES DUANE WALTHALL PTA (NPI 1205289139) is an individual specialist in Denver, Colorado, licensed in Colorado (13894) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1205289139
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. CHARLES DUANE WALTHALLCredential: PTA
Location Address5353 E YALE AVEDenver, CO 80222-6902
Mailing Address6116 W Arizona AveLakewood, CO 80232-5709 · (720) 938-5907
Sole ProprietorNo
Enumeration DateJuly 15, 2016
NPI 1205289139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CO · 13894
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5353 E YALE AVE, Denver, CO 80222

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Occupational Therapist (Gerontology)
5353 E YALE AVE
DENVER, CO 80222
Physical Therapist
5353 E YALE AVE
DENVER, CO 80222
Skilled Nursing Facility
5353 E YALE AVE
DENVER, CO 80222
Psychologist (Clinical)
5353 E YALE AVE
DENVER, CO 80222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205289139, enumerated as an "individual" on July 15, 2016.

The provider is located at 5353 E YALE AVE DENVER, CO 80222 and the phone number is (303) 757-1209.

Specialist with taxonomy code 174400000X.