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Individual

KIMBERLY ANN ROCHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
411 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99503-2502
(907) 274-9355
Mailing address
12624 CRESTED BUTTE DR, EAGLE RIVER, AK 99577-7653
(801) 419-7631

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
138811
AK
225700000X
Massage Therapist
9580749-4701
UT

Other

Enumeration date
12/19/2018
Last updated
12/19/2018
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