Provider Demographics
NPI:1013923168
Name:WALKER, LINDA C (LMT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:WALKER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-3435
Mailing Address - Country:US
Mailing Address - Phone:863-967-1980
Mailing Address - Fax:863-967-1161
Practice Address - Street 1:206 HOWARD ST
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-3435
Practice Address - Country:US
Practice Address - Phone:863-967-1980
Practice Address - Fax:863-967-1161
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA32950225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA 32950OtherMASSAGE THERAPIST