Individual
LACIE WORTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 LAKE OTIS PKWY STE 101, ANCHORAGE, AK 99508-5220
(907) 252-8958
Mailing address
4050 LAKE OTIS PKWY STE 101, ANCHORAGE, AK 99508-5220
(907) 252-8958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
101628
AK
225700000X
Massage Therapist
Primary
101628
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-5425549
MANUAL THERAPIST
AK
Enumeration date
11/08/2017
Last updated
05/06/2026
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