Katharine Davison

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

104688 Issued in AK

Practice address

97 Eichner Ave
Ketchikan, AK 99901-9033

Phone

(907) 225-4772

NPI assigned

Sep 22, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Spa Ketchikan LLC

  • Massage Therapist
  • Ketchikan, AK
  • NPI 1619849361

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1366314932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 EICHNER AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999019033",
            "telephone_number": "907-225-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 EICHNER AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999019033",
            "telephone_number": "907-225-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "KATHARINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "104688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David a Albertson DDS
• Katherine Davidson, RN
• Laura Davidson
• Margaret Ann Davis, BS
• Randolph Clark Davis, D.C.
• Russell A Degroote, M.D.
• Michael John Dellaneve, HS3
• Jerry Demmert
• John Steven Dempsey
• Virginia Detjen

• All providers in Ketchikan, AK
• Massage Therapist in Alaska

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

Verify at the official NPI Registry.