Individual
KETY MARIELYS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13135 OLD GLENN HWY STE 100, EAGLE RIVER, AK 99577-7584
(907) 696-9090
(907) 696-9091
Mailing address
13135 OLD GLENN HWY STE 100, EAGLE RIVER, AK 99577-7584
(907) 696-9090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
133077
AK
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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