MRS. Maria Jean Waltz, LMT

NPI #1740694025 in Godfrey, Illinois

Provider Information

NPI Number: 1740694025
Entity Type: Individual
Name: MRS. Maria Jean Waltz, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 16, 2014
Last Updated: Jun 16, 2014

Practice Location

Address: 1316 DADRIAN PROFESSIONAL PARK
City: Godfrey
State: Illinois
ZIP Code: 62035-1685
Phone: (618) 467-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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