Forget Me Knot Massage Therapy LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

FORGET ME KNOT MASSAGE THERAPY LLC

Practice address

35021 Kenai Spur Hwy Ste C
Soldotna, AK 99669-7670

Phone

(907) 953-1101

NPI assigned

Jul 12, 2023

Last updated

Jul 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Marie Gough, LMTNPI 1760138358

Title

Owner

Phone

(907) 953-1101

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa M Gough, LMT

  • Massage Therapist
  • Soldotna, AK
  • NPI 1760138358
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1518646207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1673",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996111673",
            "telephone_number": "907-953-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35021 KENAI SPUR HWY STE C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697670",
            "telephone_number": "907-953-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGET ME KNOT MASSAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-953-1101",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Lynn Focose
• Christian Kelly Foldenauer
• Halley Marie Fondren, APRN; FNP
• Desiree Foote
• Heather Forbes, CDM, CPM
• Foundations Family Resource Center
• Ashley Marie Fowler, LMT
• Dezarae D Fowler
• Bryan D Frapp, PT, DPT
• Fred Meyer Stores Inc (Fred Meyer Pharmacy)

• Massage Therapist in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.