Jennifer Bell Ruiz
Individual provider Active NPI Reflexologist · Eagle River, AK
NPI 1689046393 · NPPES record last updated Oct 21, 2015
Key facts
- NPI
- 1689046393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Reflexologist 173C00000X
- License
- 102116 (AK)
- Practice address
- 11723 Old Glenn Hwy Ste 205
Eagle River, AK 99577-7750 - Phone
- (801) 390-9922
- NPI assigned
- Oct 21, 2015
- 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 |
|---|---|---|---|
| 102116 | AK | MD | Reflexologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 102116 | AK | Yes |
Addresses
Primary practice location
11723 Old Glenn Hwy Ste 205
Eagle River, AK 99577-7750
Mailing address
11723 Old Glenn Hwy Ste 205
Eagle River, AK 99577-7750
Phone (801) 390-9922
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2015. 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.