Organization
ADVANCED MASSAGE THERAPY
Active
Organization
ADVANCED MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA A MALYK (PRESIDENT)
(907) 888-4060
Entity
Organization
Contact information
Practice address
600 3RD ST STE 200, FAIRBANKS, AK 99701-3569
(907) 888-4060
Mailing address
2513 DAVIS RD UNIT 1, FAIRBANKS, AK 99709-5200
(907) 888-4060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
104398
AK
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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