Individual
MELODY WALDROUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
845 BIRCH HILL RD, FAIRBANKS, AK 99712
(315) 523-4687
Mailing address
845 BIRCH HILL RD, FAIRBANKS, AK 99712
(315) 523-4687
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
111109
AK
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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