Individual provider · Type 1 NPI

Melissa Mueller-Souphanavong, LMT

Massage Therapist · Anchorage, AK

NPI number 1104420744 Active

Practice location

7449 E 17th Ave
Anchorage, AK 99504-2708

Call (907) 244-2146 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X152646 (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 1104420744

Melissa Mueller-Souphanavong, LMT's National Provider Identifier is 1104420744, issued on Nov 24, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Anchorage, AK. The record was last updated on Nov 24, 2020.