NPI 1407203276

Annelyssa Lee Massie, LMT

Practitioner Specialist Wasilla, AK

Practice location

Address: 300 N Main St, Wasilla, AK 99654-7017
Phone: (907) 376-8020
Mailing address: PO Box 2843, Palmer, AK 99645-2843

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 101662 (AK)

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Registry record

NPI: 1407203276
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2016
Record last updated: 20 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.