Individual
SUSAN MARY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2607 N GRANDVIEW BLVD, SUITE 125, WAUKESHA, WI 53188-1686
(262) 548-0544
Mailing address
N97W14114 KNOLLCREST CIR, GERMANTOWN, WI 53022-5350
(262) 251-7808
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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