Provider Demographics
NPI:1225192164
Name:ARNOLD, TERESA (LMT)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 D ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-3510
Mailing Address - Country:US
Mailing Address - Phone:907-276-5525
Mailing Address - Fax:907-276-5005
Practice Address - Street 1:813 D ST STE 101
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3510
Practice Address - Country:US
Practice Address - Phone:907-276-5525
Practice Address - Fax:907-276-5005
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist