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Mr. Jeffrey Allen Soulliere, LMT
Massage Therapist in Cordova, Alaska
NPI 1376082263

Jeffrey Allen Soulliere is a Massage Therapist based in Cordova, AK. Jeffrey Allen Soulliere practices in Cordova, AK and has the professional credentials of LMT. The NPI Number for Jeffrey Allen Soulliere is 1376082263 and holds a License No. 115600 (Alaska).

The current practice location address for Jeffrey Allen Soulliere is 420 2Nd Street, Cordova, AK and can be reached out via phone at 208-515-0385. You can also correspond with Jeffrey Allen Soulliere through the mailing address at PO BOX 1066, CORDOVA, AK - 99574-1066 (mailing address contact number: ).

Location: 420 2Nd Street, Cordova, AK, 99574-1066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376082263
Provider Name
Jeffrey Allen Soulliere
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
420 2Nd Street, Cordova, AK, 99574-1066
Phone Number
208-515-0385
Fax Number
Provider Enumeration Date
02/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
420 2Nd Street
City
Cordova
State
Alaska
Zip
99574-0726
Phone Number
208-515-0385
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 1066
City
Cordova
State
Alaska
Zip
99574-1066
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
115600 (Alaska)
Definition
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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