Organization
WHOLISTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH JEANNE PEARCH BA, ACMT, LMT (OWNER, CLINIC DIRECTOR)
(907) 312-9578
Entity
Organization
Contact information
Practice address
700 W 58TH AVE, UNIT A, ANCHORAGE, AK 99518-1633
(907) 312-9578
Mailing address
700 W 58TH AVE, UNIT A, ANCHORAGE, AK 99518-1633
(907) 312-9578
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1004320
AK
374J00000X
Doula
—
—
Other
Enumeration date
06/22/2014
Last updated
07/01/2014
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