Provider Demographics
NPI:1114529203
Name:JAMIS THERAPEUTIC TOUCH LLC
Entity Type:Organization
Organization Name:JAMIS THERAPEUTIC TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:IONE
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:907-854-4600
Mailing Address - Street 1:17943 TEKLANIKA DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-8175
Mailing Address - Country:US
Mailing Address - Phone:907-854-4600
Mailing Address - Fax:
Practice Address - Street 1:17943 TEKLANIKA DR
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-8175
Practice Address - Country:US
Practice Address - Phone:907-854-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty