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ALISON ADELE HEAVIRLAND NCTMB

>> Mechanotherapist >> Other Service Providers

Registrant NPI Number: 1063746501

Individual Registrant:
 ALISON ADELE HEAVIRLAND NCTMB
Gender: F
Sole Proprietor

Location and contact information for practice:
13745 BEACH DR.  SEWARD, AK 99664-2754 US
Tel: 907-362-2321  Fax: --

Contact information for business:
PO BOX 2754  SEWARD, AK 99664-2754 US
Tel: 907-362-2321  Fax: --

Registration Information:
NPI: 1063746501
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N172M00000XOther Service Providers
Mechanotherapist
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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