Susan C Walker, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0018130 Issued in CO

Practice address

7120 E Orchard Rd Ste 308
Centennial, CO 80111-1734

NPI assigned

Jan 28, 2021

Last updated

Dec 9, 2024By the provider in NPPES

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 identifiers 1

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1679164081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 E ORCHARD RD STE 308",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111734",
            "telephone_number": "130-335-8209",
            "fax_number": "303-384-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 E ORCHARD RD STE 308",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 N Water St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672033838",
            "country_code": "US",
            "telephone_number": "303-903-1484",
            "fax_number": "303-484-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0018130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "MT.0018130",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walkabout Village LLC
• Ashanee Walker
• Ashley Walker, PHARMD
• Hillary Anne Walker, LCSW
• Morgan Walker
• Deborah Lee Wall, RN
• Richard J Wallace, D.D.S.
• Michele Wallendal, MD
• Anita M Waller, PA-C
• Avraham Walles

• Massage Therapist in Centennial, CO
• Providers in Centennial, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.