Individual
KAYLEE GRACE COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1212 W MYSTERY AVE STE B, WASILLA, AK 99654
(907) 521-8002
(509) 834-7696
Mailing address
1212 W MYSTERY AVE STE B, WASILLA, AK 99654-6335
(907) 521-8002
(509) 834-7696
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
128350
AK
Other
Enumeration date
02/26/2018
Last updated
06/11/2019
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