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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JEANETTE STACK, LMP

Active Sole Proprietor

MRS. JEANETTE STACK, LMP is a Massage Therapist healthcare provider located in WASILLA, Alaska. NPI 1548407497 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · WASILLA, AK

Registration Details

NPI Number
1548407497
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2009 (17.393382832441 yrs)
Last Updated
Oct 24, 2018
Licenses
MA 00014238 (WA)
101955 (AK)
Sole Proprietor
Yes

Practice Information

Address
984 N MERIDIAN PL STE A
WASILLA, AK, 996547215
Browse AK providers · Browse ZIP 99654
Phone
9076314029
Fax
9076314128
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in WASILLA, AK

Name Credential NPI
MS. SANDRA L. DUNCAN CMT, MLD, CDT 1801070982
PROF. SHAILEY TRIPP LMT, CMT, REIKI II 1114191509
MS. SANDRA M SANDVIK LMT 1336478999
JILL MOTZ LMT, CDT, MLDT 1497058655
KELLI R SHEW LMT 1790075364
SONYA MAE SMITH LMP 1518220938
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.