Organization Active NPI

Tikishla Medical Massage

  • Medical Specialty Clinic/Center
  • Anchorage, AK
National Provider Identifier
1881379360
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Karen Witthoeft, LMTNPI 1376042614
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.