Individual
FREDERICK ANTHONY WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1403 PARK AVE, ANDERSON, SC 29621-4722
(864) 608-5889
Mailing address
1403 PARK AVE, ANDERSON, SC 29621-4722
(864) 608-5889
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12230
SC
Other
Enumeration date
12/11/2020
Last updated
04/12/2026
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