NPI 1013766765

Sergei Harris, MASSAGETHERAPIST

Practitioner Massage Therapist Wasilla, AK

Practice location

Address: 436 N Main St, Wasilla, AK 99654-7018
Phone: (907) 376-8020

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 223321 (AK)

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Registry record

NPI: 1013766765
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2024
Record last updated: 15 May 2024

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.