Individual
JEREMIAH JAMES HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
591 N KNIK ST STE E, WASILLA, AK 99654-7062
(907) 308-0664
Mailing address
800 N WIN CIR, WASILLA, AK 99654-6741
(907) 240-1266
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
207404
AK
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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