Individual
MOLLY BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3800 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5209
(907) 227-6420
Mailing address
3705 ARCTIC BLVD, 617, ANCHORAGE, AK 99503-5774
(907) 227-6420
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0016220
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016220
STATE OF COLORADO
CO
Enumeration date
12/05/2015
Last updated
12/05/2015
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