Quiet Raven LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

QUIET RAVEN LLC

Practice address

4931 E Mayflower LN Ste 1
Wasilla, AK 99654-7759

Phone

(907) 357-7836

Fax

(907) 331-0504

NPI assigned

Nov 10, 2023

Organization subpart

No

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

Authorized official

Name

Gwendolynne Ann Teutsch, LMTNPI 1619442027

Title

Owner

Phone

(907) 357-7836

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.

• Gwendolynne Ann Teutsch, CMT

  • Massage Therapist
  • Wasilla, AK
  • NPI 1619442027

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1649044611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 E MAYFLOWER LN STE 1",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547759",
            "telephone_number": "907-357-7836",
            "fax_number": "907-331-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 E MAYFLOWER LN STE 1",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547759",
            "telephone_number": "907-357-7836",
            "fax_number": "907-331-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIET RAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "TEUTSCH",
        "authorized_official_first_name": "GWENDOLYNNE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-357-7836",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Veronica Claire Queja
• Alysan Ann Quennell
• James Kenneth Quintin
• Rebecca Racenet
• Debra Rafferty
• John Ragland
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• Massage Therapist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.