Individual provider · Type 1 NPI

Lisa M. Gough, LMT

Massage Therapist · Soldotna, AK

NPI number 1760138358 Active

Practice location

35021 Kenai Spur Hwy Ste C
Soldotna, AK 99669-7670

Call (415) 770-0358 Map

Mailing address

PO Box 1673
Kenai, AK 99611-1673

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X176525 (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 1760138358

Lisa M. Gough, LMT's National Provider Identifier is 1760138358, issued on Feb 23, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Soldotna, AK. The record was last updated on Jul 8, 2023.