Individual
MS. MARY ELLEN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3315 FAIRBANKS ST, ANCHORAGE, AK 99503-4145
(541) 844-9325
Mailing address
15201 A SNOW FLAKE DR, ANCHORAGE, AK 99516
(541) 844-9325
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
991202
AK
Other
Enumeration date
09/18/2012
Last updated
02/25/2015
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