Healthcare Provider Details

I. General information

NPI: 1699530337
Provider Name (Legal Business Name): ERICA M TOFTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2802 W 30TH AVE
ANCHORAGE AK
99517-1720
US

IV. Provider business mailing address

PO BOX 122
GIRDWOOD AK
99587-0122
US

V. Phone/Fax

Practice location:
  • Phone: 907-690-3686
  • Fax:
Mailing address:
  • Phone: 907-690-3686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: