Individual
LIZA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
406 NW 22ND ST, NEWPORT, OR 97365-2126
(971) 276-4873
Mailing address
406 NW 22ND ST, NEWPORT, OR 97365-2126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21967
OR
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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