Individual
RACHEL EVE STOLTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 CENTER AVE STE 100, KODIAK, AK 99615-7302
(907) 486-4042
Mailing address
1128 MISSION RD, KODIAK, AK 99615-6540
(907) 654-9160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
112401
AK
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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