SearchAlaska171M00000X

Joshua Wallace

NPI 1124326343 · on the registry since 2011 · sole proprietor

Practice

Address
43335 Kalifornsky Beach Rd Ste 36
Soldotna, AK 99669
Phone
(907) 262-6331
Fax
(907) 260-4892
Organisation at this address
Jade Vine Massage
K-Beach Medical Inc.
North Star Therapy Inc.
Myo Massage Studio Alaska
New Seasons Bodywork, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska