Raven Davis
Individual provider Active NPI Massage Therapist · Haines, AK
NPI 1609730506 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1609730506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 245529 (AK)
- Practice address
- 229 Main St
Unit 7
Haines, AK 99827 - Phone
- (907) 766-3200
- NPI assigned
- Dec 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 245529 | AK | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 245529 | AK | Yes |
Addresses
Primary practice location
229 Main St
Unit 7
Haines, AK 99827
Mailing address
PO Box 1245
Haines, AK 99827-1245
Other providers in Haines, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. 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.