Phillip Zimmerly
Massage Therapist in Anchorage, AK. Individual provider (NPI-1).
NPI number1346853322
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1346853322
- Entity type
- Individual (NPI-1)
- Name
- Phillip Zimmerly
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 156549 | AK | Yes |
Practice location
2120 E 73rd Ave Apt 1Anchorage, AK 99507-2790
Phone 907-230-9059
Mailing address
2120 E 73rd Ave Apt 1Anchorage, AK 99507-2790
Phone 907-230-9059
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