| Mr Jeffrey Allen Soulliere, LMT | |
|
420 2nd Street, Cordova, AK 99574-0726 | |
| (208) 515-0385 | |
| Not Available |
| Full Name | Mr Jeffrey Allen Soulliere |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 420 2nd Street, Cordova, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376082263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 115600 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Allen Soulliere, LMT Po Box 1066, Cordova, AK 99574-1066 Ph: () - | Mr Jeffrey Allen Soulliere, LMT 420 2nd Street, Cordova, AK 99574-0726 Ph: (208) 515-0385 |
Mrs. Tracey Lynn Nuzzi, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 First Street, Cordova, AK 99574 Phone: 907-424-3535 | |
Myaliesa Bingham, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 622 1st St #201, Cordova, AK 99574 Phone: 907-229-8928 | |
Debra Copenharve, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 622 First Street, 201, Cordova, AK 99574 Phone: 907-424-3535 Fax: 907-424-3545 | |
Shannon Lindow, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 2nd St, Cordova, AK 99574 Phone: 907-429-7797 |