Individual
ANN MARIE SHANKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED ROLFER
Contact information
Practice address
316 LAKEVIEW DRIVE, NAKNEK, AK 99633-0316
(907) 246-7003
Mailing address
PO BOX 316, NAKNEK, AK 99633-0316
(907) 246-7003
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
937169
AK
225700000X
Massage Therapist
Primary
937169
AK
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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