Individual
NICOLA WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1900 W BENSON BLVD STE 101, ANCHORAGE, AK 99517-1973
(907) 279-1838
(907) 279-1811
Mailing address
1900 W BENSON BLVD STE 101, ANCHORAGE, AK 99517-1973
(907) 279-1838
(907) 279-1811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101504
AK
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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