Male or Other

Mr. Darrell D. Walker LMT 1824

Massage Therapist in Jackson, MS(View on Map)

Full Name

Mr. Darrell Durell Walker LMT 1824

NPI Number

1851063291

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/04/2021

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

1824

Contact
Information

Purpose

Mailing
Location

Address

119 CLIFF WILLIAMS RD
5430 EXECUTIVE PL STE 2C

City

Magee
Jackson

State

MS
MS

Postal Code

39111-5026
39206-4134

Country

US
US

Telephone Number

(769) 226-1925
(769) 226-1925

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/04/2021

Provider Address

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