Wal-Interest LLC

NPI #1831429638 in Bryan, Texas

Provider Information

NPI Number: 1831429638
Entity Type: Organization
Organization Name: Wal-Interest LLC
Primary Specialty: Massage Therapist
Enumeration Date: Dec 30, 2009
Last Updated: Dec 30, 2009

Practice Location

Address: 3001 WILDFLOWER DR
Address 2: SUITE 611
City: Bryan
State: Texas
ZIP Code: 77802-3061
Phone: (979) 774-4343

Authorized Official

Name: CLIFF LATHAM
Title: OWNER
Phone: (979) 774-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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