ETTA LOUISE WALTERS MA NPI 1629231873

NPI Information

  • NPI: 1629231873
  • Provider Name: ETTA LOUISE WALTERS, MA
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 2222 S HARBOR CITY BLVD
    SUITE 530
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 723-7716

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NPI Details

Etta Louise Walters, MA is a massage therapist in Melbourne, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Etta Louise Walters, MA NPI is 1629231873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2222 S HARBOR CITY BLVD
SUITE 530
MELBOURNE, FL
ZIP 32901-594
Phone: (321) 723-7716
Fax: (321) 723-0604

The enumeration date for this NPI number is 7/8/2008 and was last updated on 10/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA51649FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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