Individual
TYLER BRIAN MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
401 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99503-2814
(907) 793-7297
(907) 793-7297
Mailing address
401 E NORTHERN LIGHTS BLVD SUITE, ANCHORAGE, AK 99503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
108097
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108097
—
AK
Enumeration date
01/03/2018
Last updated
01/03/2018
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