Individual
CARISSA HARRISON WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1842 US-84, CAIRO, GA 39828
(229) 397-0272
Mailing address
1432 LAKE FRONT DR, CAIRO, GA 39828-4030
(229) 221-5130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014636
GA
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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