Wall, Kristy Marie
Wall, Kristy Marie is an individual health care provider with primary practice located at 6221 Se 15Th St , Midwest City OK 73110-2623. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Wall, Kristy Marie can be contacted via phone (206) 380-9118.Contact Information
Primary practice address
6221 Se 15Th St
Midwest City OK 73110-2623
Phone: (206) 380-9118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 173821 | Oklahoma |
Profile Details
| NPI number | 1487323143 |
|---|---|
| LBN Legal business name | Wall, Kristy Marie |
| Credentials | MASSAGE THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2021 |
| Last updated | Sep 7th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487323143 | NPPES |
| Oklahoma | Other | 173821 | MASSAGE LICENSE |
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