NPI 1114447349

Nathan Charles Walker, LMTCMLDTOMT

Practitioner Massage Therapist Providence, RI

Practice location

Address: 251 Waterman St, Providence, RI 02906-5210
Phone: (401) 453-4263

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT02403 (RI)

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Registry record

NPI: 1114447349
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2017
Record last updated: 20 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.