Individual
MS. LAURIE J WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
114 10TH AVE, FAIRBANKS, AK 99701-5003
(907) 457-2254
Mailing address
114 10TH AVE, FAIRBANKS, AK 99701-5003
(907) 457-2254
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101489
AK
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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