Individual provider · Type 1 NPI

Edtisham Ancheta, LMT

Massage Therapist · Anchorage, AK

NPI number 1093584245 Active

Practice location

3330 Eagle St
Anchorage, AK 99503-4146

Call (907) 561-2330 Map

Mailing address

838 E 78th Ave
Anchorage, AK 99518-3126

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X74850 (CA)
Massage Therapist Primary 225700000X181533 (AK)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1093584245

Edtisham Ancheta, LMT's National Provider Identifier is 1093584245, issued on Dec 29, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Anchorage, AK. The record was last updated on Dec 29, 2023.