Alyssa Kathleen Perry Reis, NCBTMB MT, CLT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

101442 Issued in AK

Practice address

5750 Glacier Hwy Ste 12
Juneau, AK 99801-7246

Phone

(907) 723-9455

NPI assigned

May 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alyssa Kathleen Perry Former name

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1124476106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 DEBORAH DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019136",
            "telephone_number": "907-723-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 GLACIER HWY STE 12",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017246",
            "telephone_number": "907-723-9455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4028 Deborah Drive",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "99801",
            "country_code": "US",
            "telephone_number": "907-723-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIS",
        "first_name": "ALYSSA",
        "middle_name": "KATHLEEN PERRY",
        "credential": "NCBTMB MT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "AK",
            "license": "101442",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "PERRY",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynne Reece
• Kelly Jeanette Hansen Reed, M.ED, LPC, NCC
• Jeffrey R Reetz
• Christopher Michael Reid
• Meranda Reid
• Jon A Reiswig, MD,
• Jacquelyn Eve Relihan
• Charles Renick
• Montanna Rae Requa
• Resiliency Counseling Services LLC

• Massage Therapist in Juneau, AK
• Providers in Juneau, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.