Organization
SHIATSU THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE A CAMPBELL MT (MANAGING SOLE MEMBER)
(907) 347-2934
Entity
Organization
Contact information
Practice address
725 2ND AVE, FAIRBANKS, AK 99701-4450
(907) 347-2934
(907) 459-8201
Mailing address
PO BOX 74612, FAIRBANKS, AK 99707-4612
(907) 347-2934
(907) 459-8201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101554
AK
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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