Individual
NICOLE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1350 W NORTHERN LIGHTS BLVD STE C, ANCHORAGE, AK 99503-3614
(907) 334-8020
Mailing address
1350 W NORTHERN LIGHTS BLVD STE C, ANCHORAGE, AK 99503-3614
(907) 334-8020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
175397
AK
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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