Individual
MS. JERRI ANN CHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10815 KENAI SPUR HIGHWAY, KENAI, AK 99611
(907) 252-3911
Mailing address
PO BOX 1196, KENAI, AK 99611
(907) 252-3911
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
128744
AK
Other
Enumeration date
09/10/2018
Last updated
09/12/2018
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