Individual
MIA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1647 BENDING OAKS TRL, DALLAS, TX 75217-2625
(469) 219-1974
Mailing address
1647 BENDING OAKS TRL, DALLAS, TX 75217-2625
(469) 219-1974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT133735
TX
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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