Individual
SHAWN DEFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1345 W 9TH AVE STE 202, ANCHORAGE, AK 99501-3236
(907) 229-6182
Mailing address
1345 W 9TH AVE STE 202, ANCHORAGE, AK 99501-3236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/19/2018
Last updated
05/19/2018
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