CAROLYN JUDD (NPI# 1346762929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346762929 |
| Entity Type | Individual |
| Full Name | CAROLYN JUDD |
| Credential | LMT |
| Practice Address |
2975 Mill Bay Rd Ste A Kodiak AK 99615-7831 |
| Mailing Address |
1150 S Colony Way Ste 3, Pmb 226 Palmer AK 99645 |
| Practice Telephone | 9075120809 |
| Practice Fax Number | 9075120828 |
| Mailing Telephone | 9075120809 |
| Mailing Fax Number | 9075120828 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 122633 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2975 MILL BAY RD STE A |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-7831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558899807 | Arctic Chiropractic and Physical Medicine Kodiak | Clinic/Center | 2975 Mill Bay Rd Ste A, Kodiak, AK 99615-7831 | 2017-05-31 |
| 1053801233 | Michelle Marie Steiner | Massage Therapist | 2975 Mill Bay Rd Ste A, Kodiak, AK 99615-7831 | 2018-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| 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 |
|---|---|---|---|---|
| 1518516038 | Lisa Joanne Golightly | Massage Therapist | 2414 Mill Bay Rd, Kodiak, AK 99615-6654 | 2019-09-06 |
| 1649746298 | Jennifer Weaver | Massage Therapist | 2975 Mill Bay Rd, Kodiak, AK 99615-7831 | 2018-10-22 |
| 1962916205 | Caroline Mueller Goodman | Massage Therapist | 326 Center Ave Ste 100, Kodiak, AK 99615-7302 | 2017-11-22 |
| 1427599638 | Ron Gibbs | Massage Therapist | 1515b Mill Bay Rd, Kodiak, AK 99615-6233 | 2017-03-20 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1306124235 | Blanca Claypool | Massage Therapist | 2027 Hilary Lane, Kodiak, AK 99615-6377 | 2011-07-26 |
| 1992933501 | Siene Nicole Allen | Massage Therapist | 326 Center Ave Ste 201, Kodiak, AK 99615-7303 | 2009-06-23 |
| 1194364943 | Summer Walters | Massage Therapist | 326 Center Ave Ste 100, Kodiak, AK 99615-7302 | 2019-12-26 |
| 1659831519 | Rachel Eve Stoltenberg | Massage Therapist | 326 Center Ave Ste 100, Kodiak, AK 99615-7302 | 2019-03-25 |
| 1053801233 | Michelle Marie Steiner | Massage Therapist | 2975 Mill Bay Rd Ste A, Kodiak, AK 99615-7831 | 2018-05-14 |
| Find all providers in KODIAK | ||||
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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.