NPI 1225484017

Angie Kay Wellborn

Practitioner Massage Therapist Kenai, AK

Practice location

Address: 45202 Holt Lamplight Rd, Kenai, AK 99611-9383
Phone: (907) 252-8090

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 101470 (AK)

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Registry record

NPI: 1225484017
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2016
Record last updated: 11 May 2016

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.