Provider Demographics
NPI:1467583799
Name:ESKRIDGE, MARCIA S (LAC, MAC, LMT)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:S
Last Name:ESKRIDGE
Suffix:
Gender:F
Credentials:LAC, MAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6134 E 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-3214
Mailing Address - Country:US
Mailing Address - Phone:907-230-1947
Mailing Address - Fax:
Practice Address - Street 1:6134 E 22ND AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-3214
Practice Address - Country:US
Practice Address - Phone:907-230-1947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK166171100000X
AK101231225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist