Individual
AMY MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 E PALMER WASILLA HWY STE C, WASILLA, AK 99654-7339
(907) 357-3577
Mailing address
2801 E PALMER WASILLA HWY STE C, WASILLA, AK 99654-7339
(907) 357-3577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
16343
CO
225700000X
Massage Therapist
Primary
110809
AK
Other
Enumeration date
11/17/2014
Last updated
11/12/2019
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