Organization
FORGET ME KNOT MASSAGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE GOUGH LMT (OWNER)
(907) 953-1101
Entity
Organization
Contact information
Practice address
35021 KENAI SPUR HWY STE C, SOLDOTNA, AK 99669-7670
(907) 953-1101
Mailing address
PO BOX 1673, KENAI, AK 99611-1673
(907) 953-1101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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