| NPI | 1154899748 |
|---|---|
| Former Name | ALEXANDRIA LOOMIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210661) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126002729) |
| 225700000X Massage Therapist (Licence: VA 0019011553) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |