Individual
BARBARA ELLEN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3333 DENALI ST STE 150, ANCHORAGE, AK 99503-4046
(907) 563-7662
Mailing address
1005 POTLATCH CIR, ANCHORAGE, AK 99503-1778
(907) 276-1005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101488
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101488
LMT
AK
Enumeration date
07/01/2020
Last updated
07/01/2020
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