Individual
LORI A WIKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
308 OLD STEESE HWY, FAIRBANKS, AK 99701-3126
(907) 451-7246
Mailing address
HC01 BOX 2642, MILE 156 GLENN HWY, GLENNALLEN, AK 99588
(605) 941-4055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
158594
AK
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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