Spa Ketchikan LLC

NPI #1619849361 in Ketchikan, Alaska

Provider Information

NPI Number: 1619849361
Entity Type: Organization
Organization Name: Spa Ketchikan LLC
Primary Specialty: Massage Therapist
Enumeration Date: Sep 22, 2025
Last Updated: Sep 22, 2025

Practice Location

Address: 97 EICHNER AVE
City: Ketchikan
State: Alaska
ZIP Code: 99901-9033
Phone: (907) 225-4772

Authorized Official

Name: KATHARINE KAZUKO DAVISON, LMT
Title: OWNER
Phone: (907) 254-5284

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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