Individual
CAROLINE MUELLER GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
114005 MASSAGE LIC
Contact information
Practice address
326 CENTER AVE STE 100, KODIAK, AK 99615-7302
(907) 486-4042
Mailing address
12350 NOCH DR, KODIAK, AK 99615-9309
(907) 942-0479
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
114005
AK
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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