Individual
MICHAEL MACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5880
Mailing address
1401 W 34TH AVE, SUITE 106, ANCHORAGE, AK 99503-3655
(907) 258-7261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19423
OR
Other
Enumeration date
04/22/2015
Last updated
04/19/2018
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