Individual
SHANE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
109 LYNCH ST, STE B, WRANGELL, AK 99929
(907) 874-3361
Mailing address
1150 S COLONY WAY STE 3, PALMER, AK 99645-6972
(907) 727-1901
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
113243
AK
Other
Enumeration date
06/24/2019
Last updated
02/03/2021
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