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

Larry R Walton

Individual provider Prosthetic/Orthotic Supplier · NPI 1063440311

Larry R Walton is a Prosthetic/Orthotic Supplier in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1220 W Milham Ave
Portage, MI 49024-1206
Phone: (269) 382-9900
Fax: (269) 382-0700
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 039773 (MI)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X · Licence 039773 (MI)

Record details

NPI number1063440311
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 28, 2006
Last updated in NPPESAugust 11, 2011

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