Organization Active NPI

Sacred Space Massage LLC

  • Massage Therapist
  • Palmer, AK
National Provider Identifier
1609781848
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SACRED SPACE MASSAGE LLC
Practice address
1507 N Double B St
Palmer, AK 99645-5946
Phone
(907) 360-7444
NPI assigned
Aug 14, 2026
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Dawn Goolkasian
Title
Credentialing
Phone
(704) 497-7017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

1507 N Double B St
Palmer, AK 99645-5946

Mailing address

PO Box 876214
Wasilla, AK 99687-6214
Phone (907) 360-7444

National Provider Directory

National Provider Directory

Locations

1507 N Double B St
Palmer, AK 99645
Phone (907) 360-7444

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1609781848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876214",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996876214",
            "telephone_number": "907-360-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 N DOUBLE B ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996455946",
            "telephone_number": "907-360-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "GOOLKASIAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "704-497-7017"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.