Individual
LORI ANN SIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
814 E REZANOF DR, KODIAK, AK 99615-6598
(907) 487-9798
Mailing address
PO BOX 3261, KODIAK, AK 99615-3261
(907) 654-7404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101426
AK
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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