MS. Kristy Marie Wall, MASSAGE THERAPIST
NPI #1487323143 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1487323143
- Entity Type
- Individual
- Name
- MS. Kristy Marie Wall, MASSAGE THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Naturopath
- Credential
- MASSAGE THERAPIST
- Enumeration Date
- Sep 7, 2021
- Last Updated
- Sep 7, 2021
Practice Location
- Address
- 6221 SE 15TH ST
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-2623
- Phone
- (206) 380-9118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Naturopath |
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