Samantha Lynne Moffet

Individual provider Active NPI Massage Therapist · Anchorage, AK

NPI 1952959249 · NPPES record last updated Aug 29, 2019

Key facts

NPI
1952959249
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
146341 (AK)
Practice address
3100 Ward PL Apt 33
Anchorage, AK 99517-1531
Phone
(907) 440-7007
NPI assigned
Aug 29, 2019
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

LicenseStateTypeSpecialty
146341AKMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 146341 AK Yes

Addresses

Primary practice location

3100 Ward PL Apt 33
Anchorage, AK 99517-1531

Mailing address

3100 Ward PL Apt 33
Anchorage, AK 99517-1531
Phone (907) 440-7007

Other providers in Anchorage, AK

All providers in Anchorage, AK · Massage Therapist in Alaska

Sources for this page

Verify at the official NPI Registry.