Doctor Name: | BRUCE WALKER |
NPI Number: | 1558530758 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMP, LMT |
License Number: | 7775 |
Business Practice Address: | 2950 Nw 38th Ave Camas, WA - 986079550 |
Business Phone Number: | 3606063649 |
Business Fax Number: | |
Mailing Address: | 2009 Ne 98th Loop, VANCOUVER |
State: | WA |
Postal Code: | 986643077 |
Phone Number: | 3606063649 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2008 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 7775 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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. |