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Donald Waller, CMT

NPI 1396099354 · on the registry since 2012 · sole proprietor

Practice

Address
715 S 2nd St
Mcalester, OK 74501
Phone
(918) 426-5897

Registry record

Primary taxonomy
Massage Therapist
225700000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-30
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma