Individual provider · Type 1 NPI

Jennifer Ilene Degraffenried, LMT

Massage Therapist · Wasilla, AK

NPI number 1700391885 Active

Practice location

436 N Main St
Wasilla, AK 99654-7018

Call (907) 376-8020 Map

Mailing address

1788 E Neil Cir Apt 3
Wasilla, AK 99654-8241

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X127543 (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 1700391885

Jennifer Ilene Degraffenried, LMT's National Provider Identifier is 1700391885, issued on Dec 11, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wasilla, AK. The record was last updated on Dec 11, 2017.