Individual
ADDISON NICOLE DORRIS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1310 E DIMOND BLVD STE 2, ANCHORAGE, AK 99515-2031
(907) 677-6345
(907) 677-6604
Mailing address
1117 CHUGACH WAY APT 29, ANCHORAGE, AK 99503-5693
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
212848
AK
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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