MR. Gordon Jay Wallis, LMT. is a specialist in Anchorage, AK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Gordon Jay Wallis, LMT. NPI is 1548711005. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
142 W 5TH AVE
ANCHORAGE, AK
ZIP 99501-522
Phone: (907) 258-1122
The enumeration date for this NPI number is 10/19/2016 and was last updated on 10/19/2016.