Individual
KYLIE ELIZABETH COSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3149 CASSIUS CT, ANCHORAGE, AK 99508-3333
(907) 351-5438
Mailing address
3149 CASSIUS CT, ANCHORAGE, AK 99508-3333
(907) 351-5438
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
135111
AK
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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