Individual
KIMBERLY DAWN LUPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3039 DAVIS RD, FAIRBANKS, AK 99709-5234
(907) 452-3600
(907) 452-3695
Mailing address
784 CHENA HILLS DR APT A, FAIRBANKS, AK 99709-5710
(907) 978-4418
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5684
AK
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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