NPI 1003111089

Meda Ferrenburg, LMT

Practitioner Specialist Wasilla, AK

Practice location

Address: 4420 E Grumman Cir, Wasilla, AK 99654-4363
Phone: (907) 982-2148
Mailing address: PO Box 873185, Wasilla, AK 99687

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 1855 (AK)

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Registry record

NPI: 1003111089
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2011
Record last updated: 21 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.