Individual
TIANA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13135 OLD GLENN HWY STE 100, EAGLE RIVER, AK 99577-7584
(715) 415-1925
Mailing address
16928 PARK PLACE ST APT 3, EAGLE RIVER, AK 99577-7881
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
133096
AK
Other
Enumeration date
12/06/2018
Last updated
01/30/2026
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