Healthcare Provider Details

I. General information

NPI: 1235064536
Provider Name (Legal Business Name): MARCIA DUPOUX LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10931 OMALLEY CENTRE DR
ANCHORAGE AK
99515-3095
US

IV. Provider business mailing address

11707 BIRCH KNOLL LOOP
ANCHORAGE AK
99515-4310
US

V. Phone/Fax

Practice location:
  • Phone: 907-344-6567
  • Fax:
Mailing address:
  • Phone: 907-952-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number255516
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: