Provider Demographics
NPI:1558655456
Name:WALKER, CHRISTINA DONA (LMT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:DONA
Last Name:WALKER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2736 PUU HOOLAI ST
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-8576
Mailing Address - Country:US
Mailing Address - Phone:215-262-0786
Mailing Address - Fax:
Practice Address - Street 1:40 N MARKET STREET
Practice Address - Street 2:GREEN TI BOUTIQUE AND MASSAGE LLC
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793
Practice Address - Country:US
Practice Address - Phone:808-874-5333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT 11741174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist