ALICIA KAY BRAKKE (NPI# 1295208783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295208783 |
| Entity Type | Individual |
| Full Name | ALICIA KAY BRAKKE |
| Practice Address |
344 Front St Ste A Ketchikan AK 99901-6431 |
| Mailing Address |
12157 N Tongass Hwy Ketchikan AK 99901-9331 |
| Practice Telephone | 6052805434 |
| Mailing Telephone | 6052805434 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
344 FRONT ST STE A |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1346780590 | Rachel Shull | Massage Therapist | 519 Pine St, Ketchikan, AK 99901-6326 | 2017-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1346853322 | Phillip Zimmerly | Massage Therapist | 2120 E 73rd Ave Apt 1, Anchorage, AK 99507-2790 | 2020-08-28 |
| 1790397461 | Hannah S Ross | Massage Therapist | 776 Bullion Dr, Fairbanks, AK 99712-2035 | 2020-08-23 |
| 1639780596 | Sports Injury Chiropractic | Massage Therapist | 8867 Eagle Place Loop, Eagle River, AK 99577-8844 | 2020-08-13 |
| 1104435650 | Maranatha Jubilee | Massage Therapist | 645 N Jessica Brooke Cir Ste D, Wasilla, AK 99654-7333 | 2020-07-29 |
| 1952910861 | Katherine J Nelson | Massage Therapist | 1325 State Street, Skagway, AK 99840 | 2020-07-27 |
| 1366051203 | Chrystle Williefay White | Massage Therapist | 12900 W Creek Frontage Rd, Big Lake, AK 99623-4880 | 2020-07-27 |
| 1295344513 | Caroleen Theresa Monnseratt | Massage Therapist | 6511 E 8th Ave Apt 2, Anchorage, AK 99504-1779 | 2020-07-23 |
| 1174131726 | Chantel Mcvee | Massage Therapist | 1601 Baylor Way, Anchorage, AK 99508-4403 | 2020-07-20 |
| 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.