Organization
REJUVENTATE AK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY J HALSEY (CEO)
(907) 631-3015
Entity
Organization
Contact information
Practice address
2405 S KNIK GOOSE BAY ROAD, WASILLA, AK 99654
(907) 841-2565
(907) 841-2565
Mailing address
PO BOX 874486, WASILLA, AK 99687-4486
(907) 841-2565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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