Provider Demographics
NPI:1891344701
Name:LEBRESH, VERONICA ANN (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:ANN
Last Name:LEBRESH
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6210 E 12TH AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-2361
Mailing Address - Country:US
Mailing Address - Phone:231-675-4142
Mailing Address - Fax:
Practice Address - Street 1:4007 OLD SEWARD HWY STE 100
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6077
Practice Address - Country:US
Practice Address - Phone:907-770-6683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist