Lea Houston, LMT

NPI #1912350125 in Gustavus, Alaska

Provider Information

NPI Number: 1912350125
Entity Type: Individual
Name: Lea Houston, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Jul 22, 2016
Last Updated: Jul 22, 2016

Practice Location

Address: 1920 GUSTAVUS RD
Address 2: SALMON RIVER CENTER BLD A
City: Gustavus
State: Alaska
ZIP Code: 99826
Phone: (907) 723-9466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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