Individual
MRS. ANNETTA JEAN ATWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1221 NOBLE ST, FAIRBANKS, AK 99701-4961
(907) 456-4234
(907) 451-9168
Mailing address
2728 DEEPWOODS DR, NORTH POLE, AK 99705-6605
(907) 888-2148
(907) 451-9168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101981
AK
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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