Individual
MADALYNN SHEA ALSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11421 OLD GLENN HWY STE 101, EAGLE RIVER, AK 99577-7783
(907) 622-2500
Mailing address
11421 OLD GLENN HWY STE 101, EAGLE RIVER, AK 99577-7783
(907) 622-2500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
169075
AK
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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