Individual
SHANNON HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2490 E 42ND AVE, ANCHORAGE, AK 99508-5206
(907) 561-4325
Mailing address
2603 WEST 29TH AVE, ANCHORAGE, AK 99517
(907) 227-8061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101722
AK
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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