Individual
TAUNYA PALMER
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
(907) 376-2605
Mailing address
546 N MAIN ST, WASILLA, AK 99654-7019
(907) 376-2600
(907) 376-2605
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101976
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101976
STATE OCCUPATIONAL LICENSE
AK
Enumeration date
05/17/2016
Last updated
05/17/2016
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