Individual
TISH A WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4320 DIPLOMACY DR, ATTN SHERRY REEDY, ANCHORAGE, AK 99508-5925
(907) 729-3971
(907) 729-1542
Mailing address
4320 DIPLOMACY DR, ATTN SHERRY REEDY, ANCHORAGE, AK 99508-5925
(907) 729-3971
(907) 729-1542
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MP1496
AK
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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