Marla Bauknecht
Massage Therapist in Anchorage, AK. Individual provider (NPI-1).
NPI number1962217331
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1962217331
- Entity type
- Individual (NPI-1)
- Name
- Marla Bauknecht
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2025
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 218072 | AK | Yes |
Practice location
6634 Lake Otis Pkwy Ste AAnchorage, AK 99507-2176
Phone 907-522-3511 · Fax 907-522-8551
Mailing address
6634 Lake Otis Pkwy Ste AAnchorage, AK 99507-2176
Phone 907-522-3511 · Fax 907-522-8551
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