Individual
GRETCHEN ELIZABETH GRAEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10815 KENAI SPUR HWY, KENAI, AK 99611
(907) 283-5414
(907) 283-6016
Mailing address
PO BOX 8033, NIKISKI, AK 99635
(907) 776-8650
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101796
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101796
MASSAGE LICENSE
AK
Enumeration date
04/26/2018
Last updated
04/26/2018
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