Individual
IAN THOMAS GASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E BENSON BLVD, ANCHORAGE, AK 99503-4148
(907) 561-4474
Mailing address
6900 FERNWOOD AVE, ANCHORAGE, AK 99516-4420
(907) 440-2598
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102121
AK
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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