Bridget Elizabeth Walts, LMT
Individual provider Active NPI Massage Therapist · Phoenix, NY
NPI 1811380801 · NPPES record last updated Mar 15, 2015
Key facts
- NPI
- 1811380801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 27 028627 (NY)
- Practice address
- 885 County Route 57
Phoenix, NY 13135-2197 - Phone
- (315) 420-1634
- NPI assigned
- Mar 15, 2015
- Sex
- Female
- 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 |
|---|---|---|---|
| 27 028627 | NY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 27 028627 | NY | Yes |
Addresses
Primary practice location
885 County Route 57
Phoenix, NY 13135-2197
Mailing address
885 County Route 57
Phoenix, NY 13135-2197
Phone (315) 420-1634
Other providers in Phoenix, NY
- Suzan Mary Elizabeth Sheldon
- Mary E Smith
- Patricia Irene Smith
- Claudia Sobik
- Crystal Elizabeth Tangorra
- Beth A Whipple
- Kayleigh Marie Wood
- Chrissoula Chrissa Zarafonitis
All providers in Phoenix, NY · Massage Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2015. 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.