Individual
SUZANNE MARIE SARAFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
MILE 187 GLENN HIGHWAY, GLENNALLEN, AK 99588
(907) 822-3203
(907) 822-5805
Mailing address
PO BOX 577, GLENNALLEN, AK 99588-0577
(907) 822-4363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
112766
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112766
STATE OF ALASKA MASSAGE BOARD
AK
01
—
534610-07
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
—
Enumeration date
05/03/2019
Last updated
05/03/2019
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