Sherri Gust, LMT

Individual provider Active NPI Contractor · Anchorage, AK

NPI 1235586256 · NPPES record last updated May 19, 2016

Key facts

NPI
1235586256
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
License
107540 (AK)
Practice address
3601 Minnesota Dr
Unit B
Anchorage, AK 99503-3668
Phone
(907) 770-1255
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
107540AKMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ave Holistic Health & Chiropractic, LLC Past
since Mar 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 107540 AK Yes

Addresses

Primary practice location

3601 Minnesota Dr
Unit B
Anchorage, AK 99503-3668

Mailing address

1710 Woo Blvd
Anchorage, AK 99515-3269
Phone (907) 717-9537

Other providers in Anchorage, AK

All providers in Anchorage, AK · Contractor in Alaska

Sources for this page

Verify at the official NPI Registry.