Janell Grenier
Individual provider Active NPI Massage Therapist · Nikiski, AK
NPI 1639670342 · NPPES record last updated Feb 27, 2018
Key facts
- NPI
- 1639670342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 118059 (AK)
- Practice address
- 10815 Kenai Spur Hwy
Nikiski, AK 99611-7848 - Phone
- (907) 776-5684
- NPI assigned
- Feb 27, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 118059 | AK | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 118059 | AK | Yes |
Addresses
Primary practice location
10815 Kenai Spur Hwy
Nikiski, AK 99611-7848
Mailing address
PO Box 6943
Nikiski, AK 99635-6943
Other providers in Nikiski, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2018. 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.