Alicia Kay Brakke

NPI #1295208783 in Ketchikan, Alaska

Provider Information

NPI Number: 1295208783
Entity Type: Individual
Name: Alicia Kay Brakke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jan 7, 2019
Last Updated: Jan 7, 2019

Practice Location

Address: 344 FRONT ST STE A
City: Ketchikan
State: Alaska
ZIP Code: 99901-6431
Phone: (605) 280-5434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Pathology - Medical Technologist — Medical Technologist	246QM0706X
Massage Therapist	225700000X	Primary

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