NPI 1992082481

Kimberly Dawn Luper, LMT

Practitioner Mechanotherapist Fairbanks, AK

Practice location

Address: 3039 Davis Rd, Fairbanks, AK 99709-5234
Phone: (907) 452-3600
Fax: (907) 452-3695
Mailing address: 784 Chena Hills Dr APT a, Fairbanks, AK 99709-5710

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 5684 (AK)

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Registry record

NPI: 1992082481
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2011
Record last updated: 10 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.