MEDICARE: DUANE DONAL CARR

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	236542	AK

General Provider Information

NPI Number	:	1730058959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUANE DONAL CARR

Provider Business Mailing Address
First Line	:	3521 ALAMOSA DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99502-5222
Country	:	US
Telephone Number	:	208-602-0239
Fax Number	:

Provider Business Practice Location Address
First Line	:	2602 FAIRBANKS ST
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-2824
Country	:	US
Telephone Number	:	907-646-2225
Fax Number	:	907-677-1880

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

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/04/2025

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Directions to “ DUANE DONAL CARR ” Practice Location

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