Individual provider Active NPI

Kelly M Bruckner

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1437084472
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
245946 Issued in AK
Practice address
188 W Northern Lights Blvd Ste 100
Anchorage, AK 99503-3904
Phone
(907) 562-2002
Fax
(907) 278-8052
NPI assigned
Jun 12, 2026
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 245946 AK Primary

Addresses

Primary practice location

188 W Northern Lights Blvd Ste 100
Anchorage, AK 99503-3904

Mailing address

PO Box 3991
Seattle, WA 98124-3991

Other practice location 1

1701 Salmon Creek Ln
Juneau, AK 99801-7868
Phone (907) 586-5762

Other practice location 2

2250 S Woodworth Loop Ste 100
Palmer, AK 99645-7457
Phone (907) 707-1333

Other practice location 3

240 Hospital Pl
Soldotna, AK 99669-7559
Phone (907) 262-7762

Other practice location 4

3851 Piper St Ste Ll002
Anchorage, AK 99508-4684
Phone (907) 212-3186

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

Practice roles

OrganizationSpecialtyStatusNew patients
RBS Evolution of Alaska LLC Massage Therapist PastSince Dec 7, 2025 Accepting new patients
RBS Evolution of Alaska LLC Massage Therapist PastSince Dec 1, 2024 Accepting new patients
Alaska Urological Institute PC PastSince Sep 1, 2014 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1437084472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3991",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033904",
            "telephone_number": "907-562-2002",
            "fax_number": "907-278-8052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Salmon Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017868",
            "country_code": "US",
            "telephone_number": "907-586-5762",
            "fax_number": "907-586-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 S Woodworth Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996457457",
            "country_code": "US",
            "telephone_number": "907-707-1333",
            "fax_number": "844-248-7515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Hospital Pl",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697559",
            "country_code": "US",
            "telephone_number": "907-262-7762",
            "fax_number": "907-921-7581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3851 Piper St Ste Ll002",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084684",
            "country_code": "US",
            "telephone_number": "907-212-3186",
            "fax_number": "907-212-3665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCKNER",
        "first_name": "KELLY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "245946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.