Individual
MAISIE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 8TH AVE, HELENA, MT 59601-4644
(909) 809-0088
Mailing address
1711 8TH AVE, HELENA, MT 59601-4644
(909) 809-0088
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MT
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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