Individual
CATHLEEN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CCST, LE
Contact information
Practice address
376 AURIGA LN, BIRD CREEK, AK 99540-1201
(907) 830-1075
Mailing address
376 AURIGA LN, BIRD CREEK, AK 99540-1201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101669
AK
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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