Daniel Grant Groeneweg
Individual provider Active NPI Massage Therapist · Eagle River, AK
NPI 1346863560 · NPPES record last updated May 21, 2020
Key facts
- NPI
- 1346863560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 128196 (AK)
- Practice address
- 13135 Old Glenn Hwy Ste 100
Eagle River, AK 99577-7584 - Phone
- (907) 696-9090
- Fax
- (907) 696-9091
- NPI assigned
- May 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128196 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Migraine Specialists, LLC | Current |
Accepting new patients | |
| Hindman Family Chiropractic LLC | Past |
Accepting new patients |
Locations
13135 Old Glenn Hwy
Ste 100
Eagle River, AK 99577
Phone (907) 331-9835
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 128196 | AK | Yes |
Addresses
Primary practice location
13135 Old Glenn Hwy Ste 100
Eagle River, AK 99577-7584
Mailing address
13135 Old Glenn Hwy Ste 100
Eagle River, AK 99577-7584
Phone (907) 696-9090
Other providers in Eagle River, AK
- Carrie Lynne Gray
- Samantha Green
- Joanne Greene
- James M Griffin
- Muranda Griggs
- Megan Gruhl
- Lydia Guerrero
- Guiding Light Assistant Living Home
- Sarah Elizabeth Jean Guttman
- Samantha Haas
All providers in Eagle River, AK · Massage Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.