Individual
TIFFANY MARIE AWREY SIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E REDOUBT AVE, SOLDOTNA, AK 99669-8012
(907) 262-9117
Mailing address
37970 LORIWOOD DR, KENAI, AK 99611-5970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
194139
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194139
STATE OF ALASKA
AK
Enumeration date
05/27/2022
Last updated
05/27/2022
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