MARY JANES HOUSE OF HEALING LLC (NPI# 1659644508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659644508 |
| Entity Type | Organization |
| Organization Name | MARY JANES HOUSE OF HEALING LLC |
| Practice Address |
550 S Alaska St Ste 104c Palmer AK 99645-6371 |
| Mailing Address |
634 S Bailey St Ste 201 Palmer AK 99645-6360 |
| Practice Telephone | 9077453301 |
| Mailing Telephone | 9077461815 |
| Mailing Fax Number | 9077461816 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | RICHARD STRYKEN (OWNER) |
| Authorized Official Telephone | 9072322725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
550 S ALASKA ST STE 104C |
| City | PALMER |
| State | AK |
| Zip Code | 99645-6371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376803080 | Bussakorn Toyting | Contractor | 550 S Alaska St Ste 104c, Palmer, AK 99645-6371 | 2012-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021303 | Rachael Curtis | Massage Therapist | 6921 E Garth Cir Ste B, Palmer, AK 99645-5922 | 2020-04-15 |
| 1730733726 | Emmali Jean Peters | Massage Therapist | 21382 E Arnold Cir, Palmer, AK 99645-8268 | 2019-07-28 |
| 1669955118 | Catherine Marie Palmer | Massage Therapist | 9361 N Blue Fox Dr, Palmer, AK 99645-9268 | 2018-09-11 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| 1457871014 | Jennifer Hoffman | Massage Therapist | 209 W. Cedar Ave, Palmer, AK 99645 | 2017-06-26 |
| 1528598836 | Joanne L Casey | Massage Therapist | 1901 N Hemmer Rd Ste 208, Palmer, AK 99645-9690 | 2017-06-19 |
| 1033646393 | Alyssa Janae Mckenzie | Massage Therapist | 4605 N Wolverine Rd, Palmer, AK 99645-8730 | 2017-05-17 |
| 1942743489 | Olivia Bordenkircher | Massage Therapist | 7700 E Buckboard Rd, Palmer, AK 99645-7467 | 2016-12-01 |
| 1720439227 | Sharon Cruickshank | Massage Therapist | 408 S Alaska St, Palmer, AK 99645-6338 | 2016-06-26 |
| Find all providers in PALMER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.