Individual
SOPHIA FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1350 W. NORTHERN LIGHTS, STE C, ANCHORAGE, AK 99503
(907) 334-8020
Mailing address
1350 W. NORTHERN LIGHTS, STE C, ANCHORAGE, AK 99503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
169304
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509511
AKDL
AK
Enumeration date
02/24/2021
Last updated
02/24/2021
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