Shiatsu Therapy LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

101554 Issued in AK

Legal business name

SHIATSU THERAPY LLC

Practice address

725 2ND Ave
Fairbanks, AK 99701-4450

Phone

(907) 347-2934

Fax

(907) 459-8201

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Leslie A Campbell, MTNPI 1831558584

Title

Managing Sole Member

Phone

(907) 347-2934

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie A Campbell, MT

  • Massage Therapist
  • Fairbanks, AK
  • NPI 1831558584
  NPD (past) Authorized official

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1588023238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74612",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997074612",
            "telephone_number": "907-347-2934",
            "fax_number": "907-459-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 2ND AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014450",
            "telephone_number": "907-347-2934",
            "fax_number": "907-459-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIATSU THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING SOLE MEMBER",
        "authorized_official_telephone_number": "907-347-2934",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Lee Shelton
• Robyn Feder Shepard Shepard, PTA
• Richard Joseph Sheridan Jr., M.D.
• Victoria E Sherwood
• Shara Shewfelt
• Essam D Shihadeh, MD
• Manal Shihadeh, M.D.
• Rachel Lenore Shilhanek
• Mark Shimkus
• Shining Star Assist Living

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.