Individual
MR. RANDAL B. WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
663 S KRALLTOWN RD, EAST BERLIN, PA 17316-9137
(717) 292-0304
Mailing address
663 S KRALLTOWN RD, EAST BERLIN, PA 17316-9137
(717) 292-0304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000671
PA
Other
Enumeration date
10/24/2011
Last updated
03/18/2013
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