Individual provider · Type 1 NPI

Addison Nicole Dorris Gibson, LMT

Massage Therapist · Anchorage, AK

NPI number 1790566909 Active

Practice location

1310 E Dimond Blvd Ste 2
Anchorage, AK 99515-2031

Call (907) 677-6345 Map

Fax (907) 677-6604

Mailing address

1117 Chugach Way Apt 29
Anchorage, AK 99503-5693

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X212848 (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 1790566909

Addison Nicole Dorris Gibson, LMT's National Provider Identifier is 1790566909, issued on Oct 12, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Anchorage, AK. The record was last updated on Oct 12, 2023.