Individual
LORI JANE DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
501 E. BREMNER STREET, VALDEZ, AK 99686
(907) 835-8777
(907) 835-8702
Mailing address
PO BOX 1706, VALDEZ, AK 99686-1706
(907) 835-8777
(907) 835-8702
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101372
AK
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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