Individual
MELANIE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1212 W MYSTERY AVE STE B, WASILLA, AK 99654-6335
(907) 521-8002
Mailing address
1900 S RUE DE LA PAIX LOOP, WASILLA, AK 99623-0976
(907) 315-0004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
156526
AK
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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