| NPI | 1740646850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA FULLER Office Manager 907-376-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 102742) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-03-09 |