Individual
EVERETT WILMARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11431 BUSINESS BLVD STE 601, EAGLE RIVER, AK 99577-7738
(907) 232-7751
Mailing address
11431 BUSINESS BLVD STE 601, EAGLE RIVER, AK 99577-7738
(907) 232-7751
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
184413
AK
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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