Active NPI
Relax Your Mind, Body and Soul
- Physical Therapy Clinic/Center
- Fairbanks, AK
National Provider Identifier
1154715928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.