Provider Demographics
NPI:1760614325
Name:TOCCHINI, SAMANTHA L (LAC, LMT)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:L
Last Name:TOCCHINI
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:L
Other - Last Name:GUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:610 W 2ND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-2151
Mailing Address - Country:US
Mailing Address - Phone:907-519-9936
Mailing Address - Fax:
Practice Address - Street 1:610 W 2ND AVE STE 100
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-2151
Practice Address - Country:US
Practice Address - Phone:907-519-9936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK967859225700000X
OR16490225700000X
AK135541171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist