Individual
ALICIA KAY BRAKKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 FRONT ST STE A, KETCHIKAN, AK 99901-6431
(605) 280-5434
Mailing address
12157 N TONGASS HWY, KETCHIKAN, AK 99901-9331
(605) 280-5434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
AK
246QM0706X
Medical Technologist
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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