Individual
GENAVA TAITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2650 S KNIK GOOSE BAY RD, WASILLA, AK 99654-0731
(907) 521-4115
Mailing address
2521 E MOUNTAIN VILLAGE DR STE B, WASILLA, AK 99654-7332
(907) 521-4115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
249807
AK
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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