MEDICARE: AMERISSIS FELIZ LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	127509	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6864988	OTHER	AK	DRIVER LICENSE

General Provider Information

NPI Number	:	1003306713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMERISSIS FELIZ LMT

Provider Business Mailing Address
First Line	:	3835 SPENARD RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99517-2678
Country	:	US
Telephone Number	:	907-274-9355
Fax Number	:	907-274-9345

Provider Business Practice Location Address
First Line	:	3835 SPENARD RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99517-2678
Country	:	US
Telephone Number	:	907-274-9355
Fax Number	:	907-274-9345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2018
Last Update Date	:	05/10/2024

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Directions to “ AMERISSIS FELIZ LMT” Practice Location

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