NPI 1174340954

Marcus Walther

Practitioner Massage Therapist Reston, VA

Practice location

Address: 11704 Bowman Green Dr Uppr Suite, Reston, VA 20190-3504
Phone: (757) 753-4940
Mailing address: 708 Cottage St SW, Vienna, VA 22180-6311

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019005902 (VA)

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Registry record

NPI: 1174340954
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2024
Record last updated: 24 Sep 2024

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.