Organization
ALASKA THERAPEUTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE EBBESSON (MANAGING MEMBER)
(907) 347-4580
Entity
Organization
Contact information
Practice address
418 WEDGEWOOD DR, FAIRBANKS, AK 99701-1604
(907) 347-4580
Mailing address
PO BOX 74058, FAIRBANKS, AK 99707-4058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101581
AK
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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