Individual provider · Type 1 NPI

Ryan Fuller, LMT

Massage Therapist · Soldotna, AK

NPI number 1104276153 Active

Practice location

33870 Polar St
Soldotna, AK 99669-9251

Call (907) 260-4844 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X109262 (AK)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1104276153

Ryan Fuller, LMT's National Provider Identifier is 1104276153, issued on Jun 20, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Soldotna, AK. The record was last updated on Jun 20, 2016.