Individual
VALERIE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2006 SOUTHERN BLVD. SUITE 102, RIO RANCHO, NM 87124-8768
(505) 917-3912
Mailing address
2006 SOUTHERN BLVD. SUITE 102, RIO RANCHO, NM 87124-8768
(505) 917-3912
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
10575
OR
225700000X
Massage Therapist
Primary
6292
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10575
OR STATE LICENSE #
OR
01
—
206400
AMTA MEMBER #
OR
01
—
390533-00
NCBTMB LICENSE #
OR
01
—
6292
NEW MEXICO BOARD OF MASSAGE
NM
Enumeration date
02/06/2008
Last updated
03/02/2012
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