Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walter John Izarra

Individual provider Massage Therapist · NPI 1093538647

Walter John Izarra is a Massage Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

4524 Shaky Leaf Ln N Fl 32224
Jacksonville, FL 32224-7611
Phone: (904) 534-2624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA32071 (FL)

Record details

NPI number1093538647
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 4, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 3, 2024

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