Individual provider · Type 1 NPI

Jospeh Provo, MT

Massage Therapist · Palmer, AK

NPI number 1912658949 Active

Practice location

108 E Arctic Ave
Palmer, AK 99645-6254

Fax (907) 745-4606

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X185638 (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 1912658949

Jospeh Provo, MT's National Provider Identifier is 1912658949, issued on Jan 11, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Palmer, AK. The record was last updated on Jan 11, 2022.