Individual
MS. TRACEY LEIGH WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
230 SW 3RD ST, SUITE 211, CORVALLIS, OR 97333-4692
(541) 231-4341
Mailing address
338 MARLON ST, PHILOMATH, OR 97370-9218
(541) 231-4341
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
10808
OR
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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