Individual
MS. HEATHER JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709-3933
(907) 378-2896
Mailing address
3890 HURST RD, NORTH POLE, AK 99705-6208
(907) 378-2896
(907) 488-1400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
919733
AK
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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