Daniel Grant Groeneweg

NPI #1346863560 in Eagle River, Alaska

Provider Information

NPI Number: 1346863560
Entity Type: Individual
Name: Daniel Grant Groeneweg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 21, 2020
Last Updated: May 21, 2020

Practice Location

Address: 13135 OLD GLENN HWY STE 100
City: Eagle River
State: Alaska
ZIP Code: 99577-7584
Phone: (907) 696-9090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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