Individual
JANANN KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCLMT, NCMTPT
Contact information
Practice address
11200 FOREST DR, ANCHORAGE, AK 99516-1379
(907) 244-1284
Mailing address
11200 FOREST DR, ANCHORAGE, AK 99516-1379
(907) 244-1284
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1040104
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040104
ALASKA STATE MASSAGE BUSINESS LICENSE
AK
Enumeration date
12/16/2018
Last updated
12/16/2018
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