Healthcare Provider Details

I. General information

NPI: 1760614325
Provider Name (Legal Business Name): SAMANTHA L TOCCHINI L.A.C, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA L GUSE

II. Dates (important events)

Enumeration Date: 08/17/2009
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 W 2ND AVE STE 100
ANCHORAGE AK
99501-2151
US

IV. Provider business mailing address

610 W 2ND AVE STE 100
ANCHORAGE AK
99501-2151
US

V. Phone/Fax

Practice location:
  • Phone: 907-519-9936
  • Fax:
Mailing address:
  • Phone: 907-519-9936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number135541
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number967859
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number16490
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: