Annette Susan Walko, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 59282 Issued in FL

Practice address

2929 NW 13TH St
Gainesville, FL 32609-2831

Phone

(352) 375-0295

NPI assigned

Jul 24, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Annette Demark Walko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279929600000",
    "number": "1376856906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 NW 30TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066080",
            "telephone_number": "352-318-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092831",
            "telephone_number": "352-375-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKO",
        "first_name": "ANNETTE",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-24",
        "last_updated": "2010-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 59282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "WALKO",
            "middle_name": "DEMARK",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon Alise Walker, LMHC
• Shelley S Walker, MASSAGE THERAPIST
• Susanna McRainey Walker, LCSW
• Sydney L Walker
• Tyler Walker
• Joshua Wall III, ATC, LAT
• William Garfield Wall
• Beth Irene Wallace, FNP-BC
• Bethany Faith Wallace
• Ethyl Laura Wallace

• Massage Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.