Active NPI
Lacey Kate Hansen
- Massage Therapist
- Palmer, AK
National Provider Identifier
1326831710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 239868
- Practice address
- 550 S Alaska St Ste 104C
Palmer, AK 99645-6371 - Phone
- (907) 746-3270
- NPI assigned
- May 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 239868 | AK | Primary |
Addresses
Primary practice location
550 S Alaska St Ste 104C
Palmer, AK 99645-6371
Mailing address
PO Box 3191
Palmer, AK 99645-3191
Phone (702) 622-7571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239868 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Iris Integrative Massage LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1326831710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3191",
"city": "PALMER",
"state": "AK",
"postal_code": "996453191",
"telephone_number": "702-622-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S ALASKA ST STE 104C",
"city": "PALMER",
"state": "AK",
"postal_code": "996456371",
"telephone_number": "907-746-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "LACEY",
"middle_name": "KATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-28",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AK",
"license": "239868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.