Individual provider · Type 1 NPI

Nicole Renee Manvel Walls, LMT

Massage Therapist · Winter Garden, FL

NPI number 1306181672 Active

Practice location

213 S Dillard St Ste 110G
Winter Garden, FL 34787-3596

Call (407) 877-6061 Map

Mailing address

1131 Railside Way
Oakland, FL 34787-8935

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 54962 (FL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1306181672

Nicole Renee Manvel Walls, LMT's National Provider Identifier is 1306181672, issued on Nov 28, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winter Garden, FL. The record was last updated on Nov 28, 2012.