Active NPI
Eletha Walker, MMP
- Massage Therapist
- Florence, MS
National Provider Identifier
1497295117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1569
- Practice address
- 215 Walker Smith Rd
Florence, MS 39073 - Phone
- (601) 954-6831
- NPI assigned
- Feb 28, 2017
- Last updated
- Feb 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1569 | MS | Primary |
Addresses
Primary practice location
215 Walker Smith Rd
Florence, MS 39073
Mailing address
210 Walker Smith Rd
Florence, MS 39073-8444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1569 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1497295117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WALKER SMITH RD",
"city": "FLORENCE",
"state": "MS",
"postal_code": "390738444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 WALKER SMITH RD",
"city": "FLORENCE",
"state": "MS",
"postal_code": "39073",
"telephone_number": "601-954-6831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ELETHA",
"credential": "MMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MS",
"license": "1569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.