| NPI | 1740668276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK WILSON Operational Manager 907-792-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 1020633) |
| Enumeration Date | 2015-05-17 |
| Last Update Date | 2015-05-17 |