Organization
WILD IRIS INTEGRATIVE MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH MARIE LAWTON LMT (OWNER/MASSAGE THERAPIST)
(907) 746-3270
Entity
Organization
Contact information
Practice address
810 S COLONY WAY, PALMER, AK 99645-6980
(907) 746-3270
Mailing address
1865 N KENTUCKY DERBY DR, PALMER, AK 99645-8836
(907) 746-3270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101725
AK
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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