Individual
MR. DEREK W BRASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
626 CORDOVA ST STE 105, ANCHORAGE, AK 99501-3783
(907) 277-5525
(907) 277-5526
Mailing address
626 CORDOVA ST STE 105, ANCHORAGE, AK 99501-3783
(907) 277-5525
(907) 277-5526
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
111032
AK
Other
Enumeration date
10/31/2016
Last updated
06/07/2018
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