person
Mr. Gordon Jay Wallis, LMT
Specialist in Anchorage, Alaska
NPI 1548711005

Gordon Jay Wallis is a Specialist based in Anchorage, AK. Gordon Jay Wallis practices in Anchorage, AK and has the professional credentials of LMT. The NPI Number for Gordon Jay Wallis is 1548711005 and holds a License No. 101469 (Alaska).

The current practice location address for Gordon Jay Wallis is 142 W 5Th Ave, Anchorage, AK and can be reached out via phone at 907-258-1122.

Location: 142 W 5Th Ave, Anchorage, AK, 99501-4577
person
Provider Profile Details
NPI Number
1548711005
Provider Name
Gordon Jay Wallis
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
142 W 5Th Ave, Anchorage, AK, 99501-4577
Phone Number
907-258-1122
Fax Number
Provider Enumeration Date
10/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
142 W 5Th Ave
City
State
Zip
99501-2522
Phone Number
907-258-1122
Fax Number
person
Provider Business Mailing Address Details
Address
142 W 5Th Ave
City
State
Zip
99501-2522
Phone Number
907-258-1122
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
101469 (Alaska)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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