Individual
MACKENA ELSIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
SPORTS & SPINAL INJURY CLINIC, 6634 LAKE OTIS PKWY #A, ANCHORAGE, AK 99507
(907) 522-3511
Mailing address
17031 VANOVER CIR, EAGLE RIVER, AK 99577-8130
(907) 980-1812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
160645
AK
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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