Individual
MS. MAIA LYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
WILD IRIS INTEGRATIVE MASSAGE, 550 S ALASKA STREET, STE 104 C, PALMER, AK 99645
(907) 746-3270
Mailing address
2521 E MOUNTAIN VILLAGE DR STE B, WASILLA, AK 99654-7332
(816) 500-3680
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
181913
AK
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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