Active NPI
Theresa Mae Cooley, LMT
- Massage Therapist
- Wasilla, AK
National Provider Identifier
1003771965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 247240
- Practice address
- 903 N Big B Dr
Wasilla, AK 99623-9682 - Phone
- (907) 344-3444
- Fax
- (907) 921-7670
- NPI assigned
- Dec 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 247240 | AK | Primary |
Addresses
Primary practice location
903 N Big B Dr
Wasilla, AK 99623-9682
Mailing address
903 N Big B Dr
Wasilla, AK 99623-9682
Phone (907) 344-3444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247240 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1003771965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 N BIG B DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996239682",
"telephone_number": "907-344-3444",
"fax_number": "907-921-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 N BIG B DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996239682",
"telephone_number": "907-344-3444",
"fax_number": "907-921-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "THERESA",
"middle_name": "MAE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "247240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.