Individual
SUMMER WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 CENTER AVE STE 100, KODIAK, AK 99615-7302
(907) 486-4042
(907) 486-1033
Mailing address
326 CENTER AVE, STE 100, KODIAK, ALASKA 99615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
144390
AK
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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