Individual
SAMANTHA D ELLIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11431 BUSINESS BLVD STE 601, EAGLE RIVER, AK 99577-7738
(907) 694-7700
(907) 694-7010
Mailing address
2700 N ROBIN LN, PALMER, AK 99645-8777
(907) 715-4411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101769
AK
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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