| NPI | 1639529399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LA GINA HIGHFIELD Massage Therapist 907-868-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AK 102210) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |