Angela Irvin, LMT

NPI #1861939951 in Eagle River, Alaska

Provider Information

NPI Number: 1861939951
Entity Type: Individual
Name: Angela Irvin, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 26, 2017
Last Updated: Apr 5, 2019

Practice Location

Address: 18540 WALRUS CIR
City: Eagle River
State: Alaska
ZIP Code: 99577-8615
Phone: (907) 696-8306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X
Massage Therapist	225700000X	Primary

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