Doctor Name: | SHELLEY S WALKER |
NPI Number: | 1033380464 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASSAGE THERAPIST |
License Number: | MA39195 |
Business Practice Address: | 3366 Nw 13th St Gainesville, FL - 326092171 |
Business Phone Number: | 3523724567 |
Business Fax Number: | |
Mailing Address: | 7545 Sw 75th St., #318, GAINESVILLE |
State: | FL |
Postal Code: | 326085504 |
Phone Number: | 3525143381 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2008 |
NPI Last Update Date: | 03/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA39195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |