Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eagle River Therapeutic Massage LLC

Organization Massage Therapist · NPI 1689969966

Eagle River Therapeutic Massage LLC provides Massage Therapist services in Eagle River, Alaska. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10421 Vfw Rd Ste 101
Eagle River, AK 99577-8032 Not confirmed with CMS for 15 years — call before visiting
Phone: (907) 351-7191
Fax: (907) 622-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA00014238 (WA)

Record details

NPI number1689969966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanette Stack — Owner/Member · (907) 351-7191
Other names Ertm Eagle River Therapeutic Massage
NPI enumeratedJune 14, 2011
Last updated in NPPESJune 14, 2011
Mailing address24712 Teal Loop, Chugiak, AK 99567-5114

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