Organization
LAKEVIEW MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE JEAN NELSON LMT (OWNER/LICENSED MASSAGE THERAPIST)
(907) 892-1628
Entity
Organization
Contact information
Practice address
3498 S LAKEVIEW LOOP, BIG LAKE, AK 99652
(907) 892-1628
(907) 892-1629
Mailing address
PO BOX 521833, BIG LAKE, AK 99652-1833
(907) 892-1628
(907) 892-1629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1028542
AK
Other
Enumeration date
01/05/2016
Last updated
08/03/2016
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