Individual
COLSIE NICOLE BISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
960 WICKERSHAM CIR, PALMER, AK 99645-7007
(907) 414-4559
Mailing address
960 WICKERSHAM CIR, PALMER, AK 99645-7007
(907) 414-4559
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
181446
AK
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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