Wanda Wilson, LMT
Specialist in Anchorage, AK. Individual provider (NPI-1).
NPI number1760836282
StatusActive
Last updated in NPPESApr 21, 2016
Details
- NPI
- 1760836282
- Entity type
- Individual (NPI-1)
- Name
- Wanda Wilson
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2016
- Last updated
- Apr 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 102091 | AK | Yes |
Practice location
2925 Debarr RdSuite 150
Anchorage, AK 99508-2959
Phone 907-929-2222
Mailing address
2925 Debarr RdSuite 150
Eagle River, AK 99577
Phone 907-843-2633
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