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Jospeh Provo, MT
Massage Therapist in Palmer, Alaska
NPI 1912658949

Jospeh Provo is a Massage Therapist based in Palmer, AK. Jospeh Provo practices in Palmer, AK and has the professional credentials of MT. The NPI Number for Jospeh Provo is 1912658949 and holds a License No. 185638 (Alaska).

The current practice location address for Jospeh Provo is 108 E Arctic Ave, Palmer, AK and can be reached out via phone at 907-745-4357 and via fax at 907-745-4606.

Location: 108 E Arctic Ave, Palmer, AK, 99645-6254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912658949
Provider Name
Jospeh Provo
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
108 E Arctic Ave, Palmer, AK, 99645-6254
Phone Number
907-745-4357
Fax Number
907-745-4606
Provider Enumeration Date
01/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 E Arctic Ave
City
Palmer
State
Alaska
Zip
99645-6254
Phone Number
907-745-4357
Fax Number
907-745-4606
person
Provider Business Mailing Address Details
Address
108 E Arctic Ave
City
Palmer
State
Alaska
Zip
99645-6254
Phone Number
907-745-4357
Fax Number
907-745-4606
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
185638 (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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