Myaliesa Bingham, LMT

NPI #1497376750 in Cordova, Alaska

Provider Information

NPI Number: 1497376750
Entity Type: Individual
Name: Myaliesa Bingham, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 28, 2020
Last Updated: Apr 28, 2020

Practice Location

Address: 622 1ST ST #201
City: Cordova
State: Alaska
ZIP Code: 99574
Phone: (907) 229-8928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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