Individual
CEAN WHITMARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
751 OLD RICHARDSON HWY STE 101, FAIRBANKS, AK 99701-7802
(907) 328-5965
(855) 414-4818
Mailing address
751 OLD RICHARDSON HWY STE 101, FAIRBANKS, AK 99701-7802
(907) 328-5965
(855) 414-4818
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
130033
AK
225700000X
Massage Therapist
MT.0015832
CO
225700000X
Massage Therapist
MT123921
TX
Other
Enumeration date
09/12/2016
Last updated
04/10/2020
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