Individual
KEITH GEORGE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4325 LAUREL ST, 275, ANCHORAGE, AK 99508-5364
(907) 351-0394
Mailing address
4325 LAUREL ST, 275, ANCHORAGE, AK 99508-5364
(907) 351-0394
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107550
AK
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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