Individual
ALICIA HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8090
(907) 376-1234
Mailing address
PO BOX 879774, WASILLA, AK 99687-9774
(907) 987-3919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
211328
AK
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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