Individual
MYCHAL ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
550 E TUDOR RD STE 101, ANCHORAGE, AK 99503-7371
(907) 222-2100
(907) 222-2131
Mailing address
550 E TUDOR RD STE 101, ANCHORAGE, AK 99503-7371
(907) 222-2100
(907) 222-2131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
131947
AK
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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