Individual
GREGORY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4585 THANE RD, JUNEAU, AK 99801-7706
(907) 723-8367
Mailing address
4585 THANE RD, JUNEAU, AK 99801-7706
(907) 723-8367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
184504
AK
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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