Advanced Massage Therapy

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

104398 Issued in AK

Legal business name

ADVANCED MASSAGE THERAPY

Practice address

600 3Rd St Ste 200
Fairbanks, AK 99701-3569

Phone

(907) 888-4060

NPI assigned

Mar 1, 2017

Last updated

Mar 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Svetlana A MalykNPI 1437699097

Title

President

Phone

(907) 888-4060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Svetlana Malyk

  • Massage Therapist
  • Fairbanks, AK
  • NPI 1437699097
  Authorized official Same address or phone

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1972043537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 DAVIS RD UNIT 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095200",
            "telephone_number": "907-888-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3RD ST STE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013569",
            "telephone_number": "907-888-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "MALYK",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-888-4060"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "104398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Fairbanks, 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 1, 2017; 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.