Most Relevant Information
Provider Data
| NPI Number: | 1003557083 |
| Provider Name: | DEREK MATTHEW CHALIFOUR |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2022 |
| Last Updated: | 08/25/2022 |
Provider Practice Location
1113 W FIREWEED LN STE 100
ANCHORAGE
AK
995031753
Practice Location Phone/Fax
| Phone: | 9072722700 |
| Fax: |
Provider Mailing Location
3302 WOODLAND PARK DR
ANCHORAGE
AK
995172109
Provider Mailing Phone/Fax
| Phone: | 9072404381 |
| Fax: |