Organization
KENAI PENINSULA MASSAGE THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN RILEY SPARKS LMT (LMT/OWNER)
(907) 953-0430
Entity
Organization
Contact information
Practice address
315 S KOBUK ST STE B, SOLDOTNA, AK 99669-7842
(907) 420-0820
Mailing address
315 S KOBUK ST STE B, SOLDOTNA, AK 99669-7842
(907) 420-0820
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/13/2021
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