Individual
JOLENE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6711 DEBARR RD, ANCHORAGE, AK 99504-1803
(907) 333-6525
Mailing address
3636 CHAFFEE CIR, ANCHORAGE, AK 99517-2309
(907) 360-2215
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
214003
AK
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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