Active NPI
Tikishla Medical Massage
- Medical Specialty Clinic/Center
- Anchorage, AK
National Provider Identifier
1881379360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- TIKISHLA MEDICAL MASSAGE
- Practice address
- 630 E. 57TH Place
Anchorage
Anchorage, AK 99518 - Phone
- (907) 602-3137
- NPI assigned
- Jun 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Witthoeft, LMT
- Title
- Co-Owner
- Phone
- (907) 602-3137
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
630 E. 57TH Place
Anchorage
Anchorage, AK 99518
Mailing address
3927 Reflection Dr
Anchorage, AK 99504-4385
Phone (907) 602-3137
National Provider Directory
National Provider DirectoryLocations
630 E 57th Pl
Anchorage, AK 99518
Phone (907) 602-3137
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Anchorage, AK
- NPI 1376042614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1881379360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3927 REFLECTION DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995044385",
"telephone_number": "907-602-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E. 57TH PLACE",
"address_2": "ANCHORAGE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99518",
"telephone_number": "907-602-3137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIKISHLA MEDICAL MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-09",
"status": "A",
"authorized_official_last_name": "WITTHOEFT",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "907-602-3137",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.