Individual
TRACI K GILMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9343 RIVERCOURT WAY, JUNEAU, AK 99801-9629
(907) 790-2337
Mailing address
9343 RIVERCOURT WAY, JUNEAU, AK 99801-9629
(907) 790-2337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102012
STATE OF ALASKA PROFESSIONAL LICENSE
AK
Enumeration date
01/30/2016
Last updated
01/30/2016
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