Provider Demographics
NPI:1437917184
Name:EXHALE MASSAGE AND BODYWORK LLC
Entity Type:Organization
Organization Name:EXHALE MASSAGE AND BODYWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:907-382-6394
Mailing Address - Street 1:5313 ARCTIC BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-1111
Mailing Address - Country:US
Mailing Address - Phone:907-382-6394
Mailing Address - Fax:907-416-7480
Practice Address - Street 1:5313 ARCTIC BLVD STE 206
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1111
Practice Address - Country:US
Practice Address - Phone:907-382-6394
Practice Address - Fax:907-416-7480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty