Individual
STEPHANIE RENEE HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1200 AIRPORT HEIGHTS DR BLDG E170, ANCHORAGE, AK 99508-2965
(907) 562-2118
Mailing address
401 SWEETGALE CT, ANCHORAGE, AK 99518-2250
(907) 230-2346
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
168889
AK
225700000X
Massage Therapist
103489
AK
Other
Enumeration date
11/02/2017
Last updated
03/11/2021
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