Individual
CARRIE ELLEN JELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4585 W RONNIES CIR, WASILLA, AK 99623-9568
(907) 376-8020
Mailing address
4585 W RONNIES CIR, WASILLA, AK 99623-9568
(907) 376-8020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
245190
AK
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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