Individual provider · Type 1 NPI
Mitchell Thomas Walters
Specialist · Sacramento, CA
NPI number
1619853470
Active
Practice location
4610 X St
Sacramento, CA 95817-2200
Mailing address
8652 Sunset Ave
Fair Oaks, CA 95628-5305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: 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.
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About NPI 1619853470
Mitchell Thomas Walters's National Provider Identifier is 1619853470, issued on Aug 15, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sacramento, CA. The record was last updated on Jan 29, 2026.