Individual
LEILANI KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-7242
Mailing address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-7242
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101875
AK
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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