Individual
AMANDA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2323 S TRUNK RD, SUITE 6, PALMER, AK 99645-5940
(907) 746-6644
Mailing address
5336 W 82ND AVE, ANCHORAGE, AK 99502
(907) 301-6169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
108562
AK
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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