Healthcare Provider Details

I. General information

NPI: 1144760463
Provider Name (Legal Business Name): ANNA HOFFMANN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2017
Last Update Date: 03/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 W NORTHERN LIGHTS BLVD SUITE 800
ANCHORAGE AK
99503-3902
US

IV. Provider business mailing address

188 W NORTHERN LIGHTS BLVD SUITE 800
ANCHORAGE AK
99503-3902
US

V. Phone/Fax

Practice location:
  • Phone: 907-276-2803
  • Fax: 907-278-8052
Mailing address:
  • Phone: 907-276-2803
  • Fax: 907-278-8052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number120149
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: