Individual
MRS. DEANNA KAY CRESAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMTPT
Contact information
Practice address
22135 AURORA BOREALIS RD, CHUGIAK, AK 99567-6163
(907) 229-9935
Mailing address
22135 AURORA BOREALIS RD, CHUGIAK, AK 99567-6163
(907) 229-9935
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
922585
AK
225700000X
Massage Therapist
Primary
952071
AK
Other
Enumeration date
04/24/2010
Last updated
02/18/2011
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