Organization
TIKISHLA MEDICAL MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WITTHOEFT LMT (CO-OWNER)
(907) 602-3137
Entity
Organization
Contact information
Practice address
630 E. 57TH PLACE, ANCHORAGE, ANCHORAGE, AK 99518
(907) 602-3137
Mailing address
3927 REFLECTION DR, ANCHORAGE, AK 99504-4385
(907) 602-3137
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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