Individual
SHERRY WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LMMT
Contact information
Practice address
14324 US HWY 172 NORTH, IGNACIO, CO 81137
(719) 688-5099
Mailing address
6198 HIGHWAY 151, IGNACIO, CO 81137
(719) 688-5099
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0006402
CO
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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