Walker, Randall Scott

Walker, Randall Scott is an individual health care provider with primary practice located at 4732 Lebanon Rd Ste D , Mint Hill NC 28227-9112. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Walker, Randall Scott can be contacted via phone (704) 763-2059.

Contact Information

Primary practice address
4732 Lebanon Rd Ste D Mint Hill NC 28227-9112
Fax:
Website:

Health care specialties

Profile Details

NPI number 1508496092
LBN Legal business name Walker, Randall Scott
Credentials LMBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2020
Last updated Jan 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508496092 NPPES
North Carolina Other 08381 NORTH CAROLINA BOARD OF MASSAGE & BODYWORK THERAPY

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