Individual
TRISTA HAYCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
530 7TH AVE STE 2, FAIRBANKS, AK 99701-4971
(907) 452-3338
Mailing address
PO BOX 82756, FAIRBANKS, AK 99708-2756
(907) 452-3338
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2006-1022
AK
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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