Healthcare Provider Details

I. General information

NPI: 1649576604
Provider Name (Legal Business Name): ALYSON RIGBY L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 01/09/2020
Certification Date: 01/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 VIEWPOINTE DR
FAIRBANKS AK
99709-6745
US

IV. Provider business mailing address

1326 VIEWPOINTE DR
FAIRBANKS AK
99709-6745
US

V. Phone/Fax

Practice location:
  • Phone: 907-712-4576
  • Fax:
Mailing address:
  • Phone: 907-712-4576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number102026
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number102026
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: