person
Kenneth Blackwell, LMT
Massage Therapist in Anchorage, Alaska
NPI 1891204400

Kenneth Blackwell is a Massage Therapist based in Anchorage, AK. Kenneth Blackwell practices in Anchorage, AK and has the professional credentials of LMT. The NPI Number for Kenneth Blackwell is 1891204400 and holds a License No. 101917 (Alaska).

The current practice location address for Kenneth Blackwell is 3310 Arctic Blvd Ste 102, Anchorage, AK and can be reached out via phone at 907-297-8679.

Location: 3310 Arctic Blvd Ste 102, Anchorage, AK, 99503-2012
person
Provider Profile Details
NPI Number
1891204400
Provider Name
Kenneth Blackwell
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
3310 Arctic Blvd Ste 102, Anchorage, AK, 99503-2012
Phone Number
907-297-8679
Fax Number
Provider Enumeration Date
09/26/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
101917 01 AK MASSAGE LICENSE
institution
Provider Business Practice Location Address Details
Address
3310 Arctic Blvd Ste 102
City
State
Zip
99503-4576
Phone Number
907-297-8679
Fax Number
person
Provider Business Mailing Address Details
Address
3310 Arctic Blvd Ste 102
City
State
Zip
99503-4576
Phone Number
907-297-8679
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
101917 (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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