Individual
DAVID TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2201 DUNN ST STE 2, JUNEAU, AK 99801-9480
(907) 743-0124
Mailing address
8840 OLD SEWARD HWY STE E, ANCHORAGE, AK 99515-2000
(907) 743-0124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
116431
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116431
STATE LICENSE
AK
Enumeration date
03/08/2018
Last updated
03/08/2018
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