EDTISHAM ANCHETA LMT NPI 1093584245

NPI Information

NPI: 1093584245
Provider Name: EDTISHAM ANCHETA, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
3330 EAGLE ST
ANCHORAGE, AK
ZIP 99503
Phone: (907) 561-2330
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Edtisham Ancheta, LMT is a massage therapist in Anchorage, AK. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Edtisham Ancheta, LMT NPI is 1093584245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3330 EAGLE ST
ANCHORAGE, AK
ZIP 99503-146
Phone: (907) 561-2330

The enumeration date for this NPI number is 12/29/2023 and was last updated on 12/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		74850	CALIFORNIA	No
2	225700000X	Massage Therapist		181533	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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