IndividualActive
Kristy Wall, MASSAGE THERAPIST
NPI 1487323143 · Naturopath · Midwest City, OK
Provider details
- NPI number
- 1487323143
- Entity type
- Individual
- Primary specialty
- NaturopathOther Service Providers
- Credential
- MASSAGE THERAPIST
- Sex
- Female
- Sole proprietor
- No
- License
- 173821 (OK)
Specialties & taxonomies
Other Service Providers
Practice location
6221 Se 15th St
Midwest City, OK 73110-2623
Phone: (206) 380-9118
Approximate (ZIP-level) locationGet directions
Mailing address
6221 Se 15th St
Midwest City, OK 73110-2623
Registry dates
- Enumerated
- 2021-09-07
- Last updated
- 2021-09-07
- Certified
- 2021-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.