Individual
MS. COLLEEN T COADIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1797 W RIVER DR, EAGLE RIVER, AK 99577-9025
(907) 622-4154
Mailing address
1797 W RIVER DR, EAGLE RIVER, AK 99577-9025
(907) 622-4154
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MP4249
AK
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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