Elizabeth Marie Spofford, LMT
Individual provider Active NPI Massage Therapist · Ninilchik, AK
NPI 1194501064 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1194501064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 113212 (AK)
- Practice address
- 15971 Sterling Hwy
Ninilchik, AK 99639-9963 - Phone
- (907) 567-3455
- NPI assigned
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113212 | AK | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 113212 | AK | Yes |
Addresses
Primary practice location
15971 Sterling Hwy
Ninilchik, AK 99639-9963
Mailing address
PO Box 39558
Ninilchik, AK 99639-0558
Phone (907) 252-9544
Other providers in Ninilchik, AK
- Ninilchik Senior Citizens, Inc.
- Ninilchik Village
- Danielle Lee Self
- Michelle Shepard
- Sarah C Spencer
- Robert Stark
- Stormy Walkoff
- Kathleen Wallace
- Carrie Ann Warren
- Catherine Pilibos West
All providers in Ninilchik, AK · Massage Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.