Individual provider · Type 1 NPI
Anna(pili) Goddard-Vaughan, LMT, CAMT
Massage Therapist · Anchorage, AK
NPI number
1609227669
Active
Practice location
3600 Lake Otis Pkwy Ste 205
Anchorage, AK 99508-5225
Fax (844) 440-5507
Mailing address
4633 Pavalof St
Anchorage, AK 99507-1016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | 101389 (AK) |
| Massage Therapist Primary | 225700000X | None listed |
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 1609227669
Anna(pili) Goddard-Vaughan, LMT, CAMT's National Provider Identifier is 1609227669, issued on Jun 30, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Anchorage, AK. The record was last updated on May 9, 2019.