Active NPI
Kirsten Lin Danzer, LMT
- Massage Therapist
- Wasilla, AK
National Provider Identifier
1043739253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 112919
- Practice address
- 5461 E Mayflower LN Ste 6
Wasilla, AK 99654-7892 - Phone
- (907) 357-6688
- Fax
- (907) 357-9655
- NPI assigned
- Sep 19, 2017
- 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 | 112919 | AK | Primary |
Addresses
Primary practice location
5461 E Mayflower LN Ste 6
Wasilla, AK 99654-7892
Mailing address
5461 E Mayflower LN Ste 6
Wasilla, AK 99654-7892
Phone (907) 357-6688
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 |
|---|---|---|---|
| 112919 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blaine Upham DC PC | Current | Accepting new patients | |
| Mountain View Chiropractic | Past | Accepting new patients |
Locations
5461 E Mayflower Ln
Ste 6
Wasilla, AK 99654
Phone (907) 355-6688
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Wasilla, AK
- NPI 1598179210
-
- Chiropractor
- Wasilla, AK
- NPI 1083733737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043739253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5461 E MAYFLOWER LN STE 6",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547892",
"telephone_number": "907-357-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5461 E MAYFLOWER LN STE 6",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547892",
"telephone_number": "907-357-6688",
"fax_number": "907-357-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANZER",
"first_name": "KIRSTEN",
"middle_name": "LIN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "112919",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.