Individual
SIENE NICOLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
326 CENTER AVE STE 201, KODIAK, AK 99615-7303
(406) 210-3245
Mailing address
PO BOX 3254, KODIAK, AK 99615-3254
(406) 210-3245
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
746
MT
225700000X
Massage Therapist
MA 56321
FL
Other
Enumeration date
06/23/2009
Last updated
06/16/2014
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