Individual
TAYLOR ALEXIS VONHEEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1389 HUFFMAN PARK DR STE 140, ANCHORAGE, AK 99515-3534
(907) 222-6122
(907) 205-5740
Mailing address
1389 HUFFMAN PARK DR STE 140, ANCHORAGE, AK 99515-3534
(907) 222-6122
(907) 205-5740
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
121212
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121212
AK LMT LICENSE
AK
Enumeration date
12/12/2017
Last updated
12/12/2017
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