Individual
KELLY SEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 W. NORTHERN LIGHTS BLVD, STE C, ANCHORAGE, AK 99503
(907) 376-8020
(907) 376-8017
Mailing address
1350 W. NORTHERN LIGHTS BLVD, STE C, ANCHORAGE, AK 99503
(907) 376-8020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
166300
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6855554
DRIVERS LICENSE
AK
Enumeration date
11/19/2020
Last updated
11/19/2020
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