Individual
KRISTA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8930 PIONEER DR, ANCHORAGE, AK 99504-4259
(907) 351-0858
Mailing address
8930 PIONEER DR, ANCHORAGE, AK 99504-4259
(907) 351-0858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
121247
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121247
MASSAGE THERAPY LICENSE
—
Enumeration date
11/28/2017
Last updated
11/28/2017
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