BRADLEY DISHNER (NPI# 1790319440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790319440 |
| Entity Type | Individual |
| Full Name | BRADLEY DISHNER |
| Credential | LMT |
| Practice Address |
1901 Airport Way Ste 102 Fairbanks AK 99701-4049 |
| Practice Telephone | 9072510983 |
| Mailing Telephone | 9072510983 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | 8496 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | 155567 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1901 AIRPORT WAY STE 102 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770867038 | Lily Victoria Hughes | Audiologist | 1901 Airport Way Ste 102, Fairbanks, AK 99701-4049 | 2011-10-05 |
| 1578179826 | Debra D Brown | Hearing Instrument Specialist | 1901 Airport Way Ste 102, Fairbanks, AK 99701-4049 | 2020-09-22 |
| 1437765427 | Aurora Audiology LLC | Clinic/Center | 1901 Airport Way Ste 102, Fairbanks, AK 99701-4049 | 2020-09-16 |
| 1063900546 | Advanced Chiropractic, LLC | Chiropractor | 1901 Airport Way Ste 102, Fairbanks, AK 99701-4049 | 2018-04-30 |
| 1770933871 | Arctic Pain Relief Center, LLC | Clinic/Center | 1901 Airport Way Ste 102, Fairbanks, AK 99701-4049 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| 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 |
|---|---|---|---|---|
| 1790397461 | Hannah S Ross | Massage Therapist | 776 Bullion Dr, Fairbanks, AK 99712-2035 | 2020-08-23 |
| 1568013530 | Barbara Eleanor Carlin | Massage Therapist | 3030 Riverview Dr, Fairbanks, AK 99709-4735 | 2019-09-21 |
| 1295216687 | Janet Lynn Juenke | Massage Therapist | 615 O'leary Rd, Fairbanks, AK 99712 | 2018-08-24 |
| 1164911905 | Sonja A. Stovall | Massage Therapist | 565 University Ave Ste 1, Fairbanks, AK 99709-3687 | 2018-05-08 |
| 1104333665 | Maria Stoianova Terziyska | Massage Therapist | 250 Cushman St Ste 2a, Fairbanks, AK 99701-4665 | 2018-01-05 |
| 1730618422 | Melody Waldroup | Massage Therapist | 845 Birch Hill Rd, Fairbanks, AK 99712 | 2017-06-07 |
| 1457886038 | Cheri Ward | Massage Therapist | 1716 University Ave S Ste 201, Fairbanks, AK 99709-4904 | 2017-04-20 |
| 1437699097 | Svetlana Malyk | Massage Therapist | 600 3rd St Ste 200, Fairbanks, AK 99701-3569 | 2017-03-01 |
| 1801344577 | Cean Whitmarsh | Massage Therapist | 751 Old Richardson Hwy Ste 101, Fairbanks, AK 99701-7802 | 2016-09-12 |
| 1467907634 | Georgiana Brennen | Massage Therapist | 1314 Viewpointe Dr, Fairbanks, AK 99709-6745 | 2016-08-17 |
| Find all providers in FAIRBANKS | ||||
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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.