Siene Nicole Allen, LMT
Individual provider Active NPI Massage Therapist · Kodiak, AK
NPI 1992933501 · NPPES record last updated Jun 16, 2014
Key facts
- NPI
- 1992933501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 746 (MT)
- Practice address
- 326 Center Ave Ste 201
Kodiak, AK 99615-7303 - Phone
- (406) 210-3245
- NPI assigned
- Jun 23, 2009
- 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 |
|---|---|---|---|
| MA 56321 | FL | MD | Massage Therapist |
| 746 | MT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 56321 | FL | |
| Massage Therapist | 225700000X | 746 | MT | Yes |
Addresses
Primary practice location
326 Center Ave Ste 201
Kodiak, AK 99615-7303
Mailing address
PO Box 3254
Kodiak, AK 99615-3254
Phone (406) 210-3245
Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2014. 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.