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ALASKA INTEGRATIVE MEDICINE
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1467500801
Organizational Registrant:Organization Name: ALASKA INTEGRATIVE MEDICINE
Organization is not Subpart
Authorized Official: DAVID VALENTINE COSGRAVE PRESIDENT 907--33-74246
Organization is not Subpart
Authorized Official: DAVID VALENTINE COSGRAVE PRESIDENT 907--33-74246
Location and contact information for practice:
5001 ARCTIC BLVD SUITE 101 ANCHORAGE, AK 99503-7007 US
Tel: 907-337-4246 Fax: --
Tel: 907-337-4246 Fax: --
Contact information for business:
5001 ARCTIC BLVD SUITE 101 ANCHORAGE, AK 99503-7007 US
Tel: 907-337-4246 Fax: --
Tel: 907-337-4246 Fax: --
Registration Information:
NPI: 1467500801
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | AK | MT 1181 |
| Y | 171100000X | Other Service Providers Acupuncturist | AK | 69 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
