# TIKISHLA MEDICAL MASSAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881379360
- **Authorized official:** KAREN WITTHOEFT LMT (CO-OWNER)
- **Authorized official phone:** (907) 602-3137

## Contact information

- **Practice address:** 630 E. 57TH PLACE, ANCHORAGE, ANCHORAGE, AK 99518
- **Practice address phone:** (907) 602-3137
- **Mailing address:** 3927 REFLECTION DR, ANCHORAGE, AK 99504-4385
- **Mailing address phone:** (907) 602-3137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/21/2023
- **Last updated:** 06/21/2023