Individual
LAURA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8 GEORGETOWN AVE, ROSEMARY BEACH, FL 32461
(850) 624-3125
Mailing address
PO BOX 436, LYNN HAVEN, FL 32444-0436
(850) 624-3125
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA21175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7989
BLUE CROSS PROVIDER
FL
Enumeration date
01/02/2007
Last updated
07/08/2007
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