NPIMap

Organization Active NPI

Lifetouch Massage and Wellness, LTD

  • Massage Therapist
  • Wasilla, AK
National Provider Identifier
1124499231
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101861 Issued in AK
Legal business name
LIFETOUCH MASSAGE AND WELLNESS, LTD
Practice address
5620 E Beaver Ave
Wasilla, AK 99654-4633
Phone
(907) 727-2596
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Jill Motz, LMT, CDTNPI 1497058655
Title
President
Phone
(907) 727-2596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 101861 AK Primary

Addresses

Primary practice location

5620 E Beaver Ave
Wasilla, AK 99654-4633

Mailing address

1700 E Bogard Rd
Suite 200 a
Wasilla, AK 99654-6563
Phone (907) 727-2596

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1124499231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD",
            "address_2": "SUITE 200 A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-727-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 E BEAVER AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996544633",
            "telephone_number": "907-727-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETOUCH MASSAGE AND WELLNESS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "MOTZ",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-727-2596",
        "authorized_official_credential": "LMT, CDT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101861",
            "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 Oct 14, 2015; 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.