Individual
KEYONA MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
546 N MAIN ST, WASILLA, AK 99654-7019
(907) 376-2600
Mailing address
PO BOX 298056, WASILLA, AK 99629-8056
(907) 903-3399
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
188621
AK
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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