Provider Demographics
NPI:1235409541
Name:JONATHAN E. WALKER & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:JONATHAN E. WALKER & ASSOCIATES, INC.
Other - Org Name:JONATHAN E. WALKER, L.M.T.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:850-576-2129
Mailing Address - Street 1:1224 OCALA RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32304-1548
Mailing Address - Country:US
Mailing Address - Phone:850-576-2129
Mailing Address - Fax:850-576-9602
Practice Address - Street 1:1224 OCALA RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-1548
Practice Address - Country:US
Practice Address - Phone:850-576-2129
Practice Address - Fax:850-576-9602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 14214225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty