Abigail Nagengast, CMT

Individual provider Active NPI Massage Therapist · Glennallen, AK

NPI 1124669874 · NPPES record last updated Oct 3, 2019

Key facts

NPI
1124669874
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
126639 (AK)
Practice address
187.6 Glenn Highway
Glennallen, AK 99588
Phone
(907) 822-3353
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
126639AKMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X 126639 AK Yes

Addresses

Primary practice location

187.6 Glenn Highway
Glennallen, AK 99588

Mailing address

HC 60 Box 145N
Copper Center, AK 99573-9701
Phone (916) 517-0531

Other providers in Glennallen, AK

All providers in Glennallen, AK · Massage Therapist in Alaska

Sources for this page

Verify at the official NPI Registry.