Individual
MRS. REBECCA ELLEN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
7807 W SALLY CT, WASILLA, AK 99623-9869
(907) 357-0143
Mailing address
7807 W SALLY CT, WASILLA, AK 99623-9869
(907) 357-0143
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/27/2015
Last updated
06/27/2015
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