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Gordon Wallis, LMT.
NPI 1548711005 · Specialist · Anchorage, AK
Gordon Wallis, LMT. is a Specialist provider in Anchorage, AK (NPI 1548711005).
Provider details
- NPI number
- 1548711005
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMT.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 101469 (AK)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
142 W 5th Ave
Anchorage, AK 99501-2522
Phone: (907) 258-1122
Street-level locationGet directions
Mailing address
1020 W 12th Ave
Anchorage, AK 99501-4577
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2016-10-19
Frequently asked questions
- What is Gordon Wallis's NPI number?
- Gordon Wallis's National Provider Identifier (NPI) is 1548711005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gordon Wallis's specialty?
- Gordon Wallis is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Gordon Wallis located?
- Gordon Wallis's practice location on file with NPPES is 142 W 5th Ave, Anchorage, AK 99501-2522.
- What is Gordon Wallis's phone number?
- The practice phone number listed in the NPPES registry for Gordon Wallis is (907) 258-1122.
- Is Gordon Wallis's NPI active?
- Yes — Gordon Wallis's NPI (1548711005) is active in the NPPES registry as of the last update on 2016-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.