Individual provider · Type 1 NPI
Katie Tallent Maxwell, LMT
Massage Therapist · Soldotna, AK
NPI number
1952174245
Active
Practice location
43335 Kalifornsky Beach Rd Ste 16H
Soldotna, AK 99669-8250
Mailing address
53140 N Shore Ct
Kenai, AK 99611-9642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 191587 (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.
Another provider at this address
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About NPI 1952174245
Katie Tallent Maxwell, LMT's National Provider Identifier is 1952174245, issued on Oct 30, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Soldotna, AK. The record was last updated on Oct 30, 2023.