Bridget Elizabeth Walts, LMT

NPI #1811380801 in Phoenix, New York

Provider Information

NPI Number: 1811380801
Entity Type: Individual
Name: Bridget Elizabeth Walts, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 15, 2015
Last Updated: Mar 15, 2015

Practice Location

Address: 885 COUNTY ROUTE 57
City: Phoenix
State: New York
ZIP Code: 13135-2197
Phone: (315) 420-1634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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