LISA M GOUGH LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1760138358- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT
- Status
- Active
Contact & Location
- Address
- 35021 KENAI SPUR HWY STE C, SOLDOTNA, AK, 996697670
- Phone
- (415) 770-0358
Specialties & Taxonomies
Massage Therapist
Primary License: AK #176525