Alexis Jane-Mackenzie Walker

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501015017 Issued in MI

Practice address

1025 Huron Ave
Port Huron, MI 48060-3763

Phone

(810) 294-5678

NPI assigned

Feb 20, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridge Chiropractic and Integrated Health LLC

  • Chiropractor
  • Port Huron, MI
  • NPI 1750641932
  NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1447958368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603763",
            "telephone_number": "810-294-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603763",
            "telephone_number": "810-294-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ALEXIS",
        "middle_name": "JANE-MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501015017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberli Wagner, SLP
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Alan Glenn Walker, C.R.N.A.
• Jeffery Deshaune Walker
• Samantha Suzanne Walker, LLMSW
• Michelle Lynn Walkowski, LMSW
• Andrea Wallace, PT
• Angela M Wallace, LLPC

• Massage Therapist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.