Organization
SPA KETCHIKAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE KAZUKO DAVISON LMT (OWNER)
(907) 254-5284
Entity
Organization
Contact information
Practice address
97 EICHNER AVE, KETCHIKAN, AK 99901-9033
(907) 225-4772
Mailing address
97 EICHNER AVE, KETCHIKAN, AK 99901-9033
(907) 225-4772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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