Eagle River Therapeutic Massage LLC
NPI 1689969966ActiveOrganization· Massage Therapist· Eagle River, AK
Massage Therapist in Eagle River, Alaska, registered in NPPES in June 2011. The authorized official on file is Jeanette Stack, LMP, NCTMB, Owner/Member.
Overview
| NPI | 1689969966 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2011 |
| Last updated in NPPES | Jun 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | MA00014238 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other massage therapists in Eagle River
- 1114529203
- 1861248007
- 1114471752
- 1194328138
- 1558832246
- 1255111258
- 1780517425
- 1811202997
- 1194389270
- 1033641881
- 1467087213
- 1467325746
All 70 massage therapists in Eagle River · All massage therapists in Alaska