NPI 1013372762

Amber Medinas

Practitioner Massage Therapist Wasilla, AK

Practice location

Address: 833 W Commercial Dr, Wasilla, AK 99654-6937
Phone: (907) 376-2475
Mailing address: 833 W. Comercial Dr, Wasilla, AK 99654

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 101637 (AK)

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Registry record

NPI: 1013372762
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Dec 2015
Record last updated: 23 Dec 2015

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.