Individual
ELISE S WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT, CLT
Contact information
Practice address
522 S INDEPENDENCE BLVD STE 202A, VIRGINIA BEACH, VA 23452-1163
(757) 412-7527
(757) 471-9330
Mailing address
5245 HEATHGLEN CIR, VIRGINIA BEACH, VA 23456-6395
(757) 412-7527
(757) 471-9330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006593
VA
Other
Enumeration date
07/21/2011
Last updated
10/21/2014
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