Caroline Mueller Goodman, 114005 MASSAGE LIC

NPI #1962916205 in Kodiak, Alaska

Provider Information

NPI Number: 1962916205
Entity Type: Individual
Name: Caroline Mueller Goodman, 114005 MASSAGE LIC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: 114005 MASSAGE LIC
Enumeration Date: Nov 22, 2017
Last Updated: Nov 22, 2017

Practice Location

Address: 326 CENTER AVE STE 100
City: Kodiak
State: Alaska
ZIP Code: 99615-7302
Phone: (907) 486-4042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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