Individual provider · Type 1 NPI

Dexter Nathanael Taylor Gonzalez, LMT

Massage Therapist · Eagle River, AK

NPI number 1174420715 Active

Practice location

12812 Old Glenn Hwy Ste A8
Eagle River, AK 99577-7003

Call (907) 696-8020 Map

Mailing address

269 Dyea Ave Apt A
Jber, AK 99505-1069

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X250664 (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 1174420715

Dexter Nathanael Taylor Gonzalez, LMT's National Provider Identifier is 1174420715, issued on Oct 26, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eagle River, AK. The record was last updated on Oct 26, 2026.