Individual
MRS. JESSYCA BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
11723 OLD GLENN HWY, STE 101, EAGLE RIVER, AK 99577-7748
(907) 696-4878
(907) 696-4674
Mailing address
11723 OLD GLENN HWY, STE 101, EAGLE RIVER, AK 99577-7748
(907) 696-4878
(907) 696-4674
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102000
AK
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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