Organization Active NPI

Relax Your Mind, Body and Soul

  • Physical Therapy Clinic/Center
  • Fairbanks, AK
National Provider Identifier
1154715928
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RELAX YOUR MIND, BODY AND SOUL
Practice address
559 Golden Morn St
Fairbanks, AK 99712
Phone
(907) 347-8598
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Alyona Alexandrovna Malyk
Title
Massage Therapist
Phone
(907) 347-8598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

559 Golden Morn St
Fairbanks, AK 99712

Mailing address

559 Golden Morn St
Fairbanks, AK 99712-2680
Phone (907) 347-8598

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1154715928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 GOLDEN MORN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997122680",
            "telephone_number": "907-347-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 GOLDEN MORN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99712",
            "telephone_number": "907-347-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELAX YOUR MIND, BODY AND SOUL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "MALYK",
        "authorized_official_first_name": "ALYONA",
        "authorized_official_middle_name": "ALEXANDROVNA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "907-347-8598"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.