Individual
SAMANTHA H TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT, BCTMB
Contact information
Practice address
11723 OLD GLENN HWY, SUITE 205, EAGLE RIVER, AK 99577-7748
(907) 350-3510
Mailing address
PO BOX 771326, EAGLE RIVER, AK 99577-1326
(907) 350-3510
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
NUR R 16194
AK
225700000X
Massage Therapist
101827
AK
Other
Enumeration date
08/15/2014
Last updated
02/25/2017
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