Individual
ANNA(PILI) GODDARD-VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CAMT
Contact information
Practice address
3600 LAKE OTIS PKWY STE 205, ANCHORAGE, AK 99508-5225
(907) 441-6075
(844) 440-5507
Mailing address
4633 PAVALOF ST, ANCHORAGE, AK 99507-1016
(907) 441-6075
(907) 563-8453
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
101389
AK
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
05/09/2019
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