MEDICARE: NACHELLE WALKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	33.025448	OH

General Provider Information

NPI Number	:	1720739923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NACHELLE WALKER

Provider Business Mailing Address
First Line	:	9913 GREENVIEW AVE UNIT 2
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-1513
Country	:	US
Telephone Number	:	216-220-9416
Fax Number	:

Provider Business Practice Location Address
First Line	:	5311 NORTHFIELD RD
Second Line	:
City	:	BEDFORD HTS
State	:	OH
Zip	:	44146-1188
Country	:	US
Telephone Number	:	216-220-9416
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2022
Last Update Date	:	01/10/2022

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Directions to “ NACHELLE WALKER ” Practice Location

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