Individual
KENNETH WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14255 US HIGHWAY 1, JUNO BEACH, FL 33408-1490
(561) 385-4795
Mailing address
9182 SUNRISE DR, LAKE PARK, FL 33403-1075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA84463
FL
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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