Joshua Ryan Cronan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

146354 Issued in AK

Practice address

12812 Old Glenn Hwy Ste A8
Eagle River, AK 99577-7003

Phone

(907) 696-8020

NPI assigned

Jan 17, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1073374070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17905 BEAUJOLAIS DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777001",
            "telephone_number": "907-980-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 OLD GLENN HWY STE A8",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777003",
            "telephone_number": "907-696-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17905 Beaujolais Dr",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777001",
            "country_code": "US",
            "telephone_number": "907-980-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONAN",
        "first_name": "JOSHUA",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "146354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Crafton, AGNP-BC
• Alaina Cramer
• Bobbi Ann-Marie Crandell
• Mikaela Lea Mary Cress
• Lesley Dixon Creswell
• Anne Gayle Crowell, RPH
• Jonathan Cuddy
• Gregory M Culbert, DC
• Edmel Dagdag
• Chelsea Barbara Phan Dana, FNP

• Massage Therapist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.