Individual
AUSTIN EVERETT POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2606 SPENARD RD, ANCHORAGE, AK 99503-2309
(907) 279-7669
Mailing address
17622 RACHEL CIR, EAGLE RIVER, AK 99577-7574
(907) 980-5224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1113376
AK
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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