Walker Joe Anthony
Individual provider Active NPI Massage Therapist · Delta, CO
NPI 1134836380 · NPPES record last updated Oct 27, 2022
Key facts
- NPI
- 1134836380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT.0024951 (CO)
- Practice address
- 697 1675 Rd
Delta, CO 81416-3462 - Phone
- (970) 985-1491
- NPI assigned
- Oct 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0024951 | CO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0024951 | CO | Yes |
Addresses
Primary practice location
697 1675 Rd
Delta, CO 81416-3462
Mailing address
697 1675 Rd
Delta, CO 81416-3462
Phone (970) 985-1491
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | thebodyshoptmns@yahoo.com |
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.