Individual
MR. RAOUL TREVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9170 JEWEL LAKE RD STE 104, ANCHORAGE, AK 99502-5390
(907) 310-8101
(907) 222-2696
Mailing address
10337 RIDGE PARK DR, ANCHORAGE, AK 99507-7316
(713) 359-0091
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
163973
AK
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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