Individual
JULIE LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 AIRPORT HEIGHTS DR STE 170, ANCHORAGE, AK 99508-2986
(907) 562-2118
(907) 562-2128
Mailing address
1200 AIRPORT HEIGHTS DR STE 170, ANCHORAGE, AK 99508-2986
(907) 562-2118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021019717
MO
225100000X
Physical Therapist
7274
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019019041
RN LICENSE
MO
01
—
2021019717
PT LICENSE
MO
01
—
7274
PT LICENSE
ID
Enumeration date
12/28/2021
Last updated
12/28/2021
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