Individual provider · Type 1 NPI

Kukapuouhaa Surl Gunderson, LMT

Massage Therapist · Wasilla, AK

NPI number 1881258358 Active

Practice location

3750 E Country Field Cir Ste A
Wasilla, AK 99654-6659

Call (907) 376-7334 Map

Fax (907) 373-1429

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMAT-15055 (HI)
Massage Therapist Primary 225700000X139644 (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 1881258358

Kukapuouhaa Surl Gunderson, LMT's National Provider Identifier is 1881258358, issued on Apr 30, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wasilla, AK. The record was last updated on Apr 30, 2019.