Andrea Kennedy Wilt Duncan

NPI #1285003897 in Douglas, Alaska

Provider Information

NPI Number: 1285003897
Entity Type: Individual
Name: Andrea Kennedy Wilt Duncan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 24, 2015
Last Updated: Sep 24, 2015

Practice Location

Address: 1512 3RD ST APT 1
City: Douglas
State: Alaska
ZIP Code: 99824-5241
Phone: (303) 720-9445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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