Keyona Mattson, LMT
Massage Therapist in Wasilla, AK. Individual provider (NPI-1).
NPI number1194468942
StatusActive
Last updated in NPPESApr 19, 2022
Details
- NPI
- 1194468942
- Entity type
- Individual (NPI-1)
- Name
- Keyona Mattson
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2022
- Certification date
- Apr 19, 2022
- Last updated
- Apr 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 188621 | AK | Yes |
Practice location
546 N Main StWasilla, AK 99654-7019
Phone 907-376-2600
Mailing address
Po Box 298056Wasilla, AK 99629-8056
Phone 907-903-3399
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