Beth A Fountain, LMT

NPI #1750973723 in Girdwood, Alaska

Provider Information

NPI Number: 1750973723
Entity Type: Individual
Name: Beth A Fountain, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 10, 2021
Last Updated: Feb 10, 2021

Practice Location

Address: 311 SAINT MORITZ
City: Girdwood
State: Alaska
ZIP Code: 99587
Phone: (269) 718-9736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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