Individual provider · Type 1 NPI
Andrea Kennedy Wilt Duncan
Massage Therapist · Douglas, AK
NPI number
1285003897
Active
Practice location
1512 3rd St Apt 1
Douglas, AK 99824-5241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 101350 (AK) |
| Massage Therapist | 225700000X | MA60503285 (WA) |
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.
About NPI 1285003897
Andrea Kennedy Wilt Duncan's National Provider Identifier is 1285003897, issued on Sep 24, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Douglas, AK. The record was last updated on Sep 24, 2015.