RELAX YOUR MIND, BODY AND SOUL (NPI# 1154715928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154715928 |
| Entity Type | Organization |
| Organization Name | RELAX YOUR MIND, BODY AND SOUL |
| Practice Address |
559 Golden Morn St Fairbanks AK 99712 |
| Mailing Address |
559 Golden Morn St Fairbanks AK 99712-2680 |
| Practice Telephone | 9073478598 |
| Mailing Telephone | 9073478598 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | ALYONA ALEXANDROVNA MALYK (MASSAGE THERAPIST) |
| Authorized Official Telephone | 9073478598 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
559 GOLDEN MORN ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295216687 | Janet Lynn Juenke | Massage Therapist | 615 O'leary Rd, Fairbanks, AK 99712 | 2018-08-24 |
| 1730618422 | Melody Waldroup | Massage Therapist | 845 Birch Hill Rd, Fairbanks, AK 99712 | 2017-06-07 |
| 1295045508 | Kelly Eggleston | Case Manager/Care Coordinator | 764 Adventure Road, Fairbanks, AK 99712 | 2010-10-20 |
| 1588871628 | Country Estates Inc | Assisted Living Facility | 240 Peregrine Drive, Fairbanks, AK 99712 | 2007-05-17 |
| 1275754012 | Presbyterian Hospitality House | Residential Treatment Facility, Emotionally Disturbed Children | 7609 Chena Hot Springs Rd, Fairbanks, AK 99712 | 2007-05-01 |
| 1750717922 | Moveit Physical Therapy, LLC | Clinic/Center | 665 Aspen Heights Dr, Fairbanks, AK 99712-1111 | 2013-09-19 |
| 1144669052 | Jessica Revells | Occupational Therapy Assistant | 734 Manchester Loop, Fairbanks, AK 99712-1120 | 2013-06-25 |
| 1134455397 | Farmers Loop Home, LLC | Assisted Living Facility | 1002 Senate Loop, 1002 Senate Loop, Fairbanks, AK 99712-1130 | 2009-10-22 |
| 1417227752 | Viola L Mccain | Social Worker | 1335 Skyline Dr, Fairbanks, AK 99712-1151 | 2012-01-04 |
| 1043462062 | Shirley Harris | Physical Therapy Assistant | 324 Skyridge Dr, Fairbanks, AK 99712-1205 | 2008-10-22 |
| Find all providers in zip 99712 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750717922 | Moveit Physical Therapy, LLC | Clinic/Center | 665 Aspen Heights Dr, Fairbanks, AK 99712-1111 | 2013-09-19 |
| 1548446297 | Building Blocks Physical Therapy, Inc | Clinic/Center | 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | 2008-01-11 |
| 1366478935 | Home Town Physical Therapy, LLC | Clinic/Center | 2310 Peger Rd Ste 101, Fairbanks, AK 99709-5315 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979551 | Cooper Rehabilitation and Wellness, LLC | Clinic/Center | 115 Wooded Glen Ct, Kenai, AK 99611-6867 | 2020-07-06 |
| 1386268449 | Kesugi LLC | Clinic/Center | 36451 Birch Rd, Soldotna, AK 99669-9966 | 2020-06-04 |
| 1821617747 | Aurora Physical Therapy, LLC | Clinic/Center | 12601 Bona Kim Loop, Anchorage, AK 99515-4328 | 2020-04-10 |
| 1366083941 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 220 Main Street Loop Unit A, Kenai, AK 99611-7724 | 2019-10-04 |
| 1871145995 | Recovery Waters Physical Therapy LLC | Clinic/Center | 9131 E Frontage Rd Ste 1, Palmer, AK 99645-9318 | 2019-07-09 |
| 1700445061 | Community Physical Therapy, Inc. | Clinic/Center | 4101 Arctic Blvd Ste 102, Anchorage, AK 99503-5702 | 2019-06-11 |
| 1588116909 | Medical Group of Alaska | Clinic/Center | 3190 E Meridian Park Loop, 206a, Wasilla, AK 99654-7422 | 2016-11-02 |
| 1497131049 | Vertical Physical Therapy LLC | Clinic/Center | 9109 Mendenhall Mall Rd Ste 5k, Juneau, AK 99801-7136 | 2015-08-05 |
| 1477936334 | Arctic Therapy and Rehab Bethel | Clinic/Center | 108 B Blackberry, Bethel, AK 99559-3466 | 2015-07-09 |
| 1952717092 | Raven's Song Rehabilitation, LLC | Clinic/Center | 6811 W Scatters Way, Wasilla, AK 99623-0878 | 2014-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.