Marissa Dewit, MT

Individual provider Active NPI Massage Therapist · Glennallen, AK

NPI 1932633377 · NPPES record last updated Apr 12, 2017

Key facts

NPI
1932633377
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
Practice address
MP 187.5 Glenn Highway
Glennallen, AK 99588
Phone
(907) 822-3353
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Glennallen Chiropractic Center Apc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Yes

Addresses

Primary practice location

MP 187.5 Glenn Highway
Glennallen, AK 99588

Mailing address

PO Box 48
Glennallen, AK 99588-0048
Phone (907) 822-3353

Other providers in Glennallen, AK

All providers in Glennallen, AK · Massage Therapist in Alaska

Sources for this page

Verify at the official NPI Registry.