Katelyn Boyter, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

169447 Issued in AK

Practice address

4655 E Crowberry Dr
Wasilla, AK 99654-4513

Phone

(907) 671-6229

NPI assigned

Mar 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1649855420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 E CROWBERRY DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996544513",
            "telephone_number": "907-671-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 E CROWBERRY DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996544513",
            "telephone_number": "907-671-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYTER",
        "first_name": "KATELYN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "169447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WASILLA",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4655 E Crowberry Dr",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996544513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Reeve Bowling
• Alys A Bowman, COTA/L
• Jillian Rose Terese Bowman
• Kathy Bowman
• Jewell Douglas Bradford
• Amanda Paige Bradley, DMD
• Elicia Bradley
• Martha Bradley
• Nicolas Bradley, PA-C

• 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 Mar 13, 2021; 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.