Individual
EVERETT TREVAUGHN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
116 GATES ST, PAINESVILLE, OH 44077-4000
(440) 537-5442
Mailing address
116 GATES ST, PAINESVILLE, OH 44077-4000
(440) 537-5442
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.025864
OH
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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