Individual
NICOLE KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 LAKE OTIS PKWY, SUITE 201, ANCHORAGE, AK 99508-5218
(907) 382-4844
Mailing address
3650 LAKE OTIS PKWY, SUITE 201, ANCHORAGE, AK 99508-5218
(907) 382-4844
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
AK
Other
Enumeration date
07/23/2012
Last updated
01/25/2013
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